Sergio Alejandro Sanchez Carrasco

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

445 3Rd Ave SW
Albany, OR 97321-2272

Phone

(541) 967-3866

NPI assigned

Feb 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1265186993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32020 GRIFFITH DR",
            "city": "TANGENT",
            "state": "OR",
            "postal_code": "973899735",
            "telephone_number": "480-246-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 3RD AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212272",
            "telephone_number": "541-967-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ CARRASCO",
        "first_name": "SERGIO",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan Firstcare Physicians
• Samaritan Health Services
• Samaritan Health Services, Inc.
• Samaritan Integrative Medicine, LLC
• Samaritan Open MRI LLC
• Valeria Jailene Sanchez
• Trista Sanders, LPN
• Karen Loraine Sangiovanni, CADC II
• Kenneth Neil Sansome, MD
• Shannun Kay Santana, CRM

• Case Manager/Care Coordinator in Albany, OR
• Providers in Albany, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.