Sanger Pediatrics a Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

20A5923 Issued in CA

Legal business name

SANGER PEDIATRICS A MEDICAL CORPORATION

Practice address

2640 Jensen Ave
Sanger, CA 93657-9777

Phone

(559) 876-1402

Fax

(559) 876-9461

NPI assigned

Nov 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Emerson B Walls, D.O.NPI 1073643920

Title

President

Phone

(559) 876-1402

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emerson Bertram Walls, DO

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1073643920
  NPD (past) Authorized official
• Brandon Kim

  • Physician Assistant
  • Sanger, CA
  • NPI 1881490266
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1245309772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579777",
            "telephone_number": "559-876-1402",
            "fax_number": "559-876-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579777",
            "telephone_number": "559-876-1402",
            "fax_number": "559-876-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGER PEDIATRICS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "EMERSON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-876-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "20A5923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rust
• Leah S Salinas
• Sam'S Club Optical
• Tejinder S Sandhu, M.D.
• Sanger Care Center LLC
• Sanger Physical Therapy, Inc.
• Sanger Skilled Care LLC
• Sanger Unified School District
• Sanger Walk-in Clinic & Wellness Center
• Marie L Santos, C.D.

• Health Service Clinic/Center in Sanger, CA
• Providers in Sanger, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.