Sequoia Pediatric Orthopaedics Medical Corporation

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

A41574 Issued in CA

Legal business name

SEQUOIA PEDIATRIC ORTHOPAEDICS MEDICAL CORPORATION

Practice address

9300 Valley Childrens PL
#Fe10
Madera, CA 93638-8761

Phone

(559) 353-5944

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Lawrence Hennrikus Jr., M.D.

Title

President

Phone

(559) 324-7300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467502971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 N WILLOW AVE STE 103",
            "address_2": "PMB#17",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114411",
            "telephone_number": "559-324-7300",
            "fax_number": "559-324-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "#FE10",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA PEDIATRIC ORTHOPAEDICS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENNRIKUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-324-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "A41574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "ZZZ60690Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Lynn Segura, PHD
• Newton Seiden, M.D.
• Shobha Sekhon, M.D.
• Troy Sena
• Rita Sepulveda
• Rosalba Serrano Rivera, LCSW
• Sonia Servin
• Sonya Marie Seshadri, M.D.
• Donna Renee Shackelford, LVN
• Valarie Ann Shaffer, CADC II

• Pediatric Orthopaedic Surgery Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.