NPIMap

Organization Active NPI

Sage Clinic

Doing business as OnSite Care Sage Clinic

  • Primary Care Clinic/Center
  • Plymouth, UT
National Provider Identifier
1285003335
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
70619161204 Issued in UT
Legal business name
SAGE CLINIC
Doing business as
OnSite Care Sage Clinic
Practice address
7285 West 21200 North
Plymouth, UT 84330
Phone
(435) 458-9205
Fax
(435) 458-2361
NPI assigned
Sep 18, 2015
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Darce Latsis
Title
Operations Manager
Phone
(801) 441-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 70619161204 UT Primary

Addresses

Primary practice location

7285 West 21200 North
Plymouth, UT 84330

Mailing address

560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Phone (801) 441-1002

Other names 1

  • OnSite Care Sage Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orbit Onsite Care Clinic25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1285003335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S 300 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113586",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 WEST 21200 NORTH",
            "city": "PLYMOUTH",
            "state": "UT",
            "postal_code": "84330",
            "telephone_number": "435-458-9205",
            "fax_number": "435-458-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LATSIS",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "801-441-1002"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "70619161204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnSite Care Sage Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnSite Care Sage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.