Donald S Staab Jr, FNP & Jose R Sanchez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G61393 Issued in CA

Legal business name

DONALD S STAAB JR, FNP & JOSE R SANCHEZ, MD

Practice address

3625 Mission Ave Ste D
Carmichael, CA 95608-2954

Phone

(916) 486-1906

Fax

(916) 486-1206

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard G Slechta Jr.

Title

Office Administrator

Phone

(916) 601-4513

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1316354830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MISSION AVE STE D",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082954",
            "telephone_number": "916-486-1906",
            "fax_number": "916-486-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MISSION AVE STE D",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082954",
            "telephone_number": "916-486-1906",
            "fax_number": "916-486-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S STAAB JR, FNP & JOSE R SANCHEZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SLECHTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-601-4513",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0020190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dignity Health Medical Foundation (Mercy Imaging Centers, a service of Dignity Health Medical Foundation)
• Tambralane Dill, COTA
• Michael Richard Dittrich, NP
• Tu DO, PHARM. D.
• Sydney Grier Dodd, FNP-C
• Kelly Ann Frances Donnelly, FNP
• Allison Dooley
• Doskalchuk Physical Therapy Corporation (Spring Physical Therapy)
• Yevgeniy Doskalchuk, DPT
• Jenee Ashley Douglas

• Family Medicine Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.