Active NPI
Sheryl Ann Haggerty, M.D.
- General Practice Physician
- Sacramento, CA
National Provider Identifier
1629053699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A98050
- Practice address
- 5290 Elvas Ave
Sacramento, CA 95819-2332 - Phone
- (916) 739-1507
- Fax
- (815) 361-9113
- NPI assigned
- Dec 13, 2005
- Last updated
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A98050 | CA | Primary |
| General Practice Physician | 208D00000X | MD-12052 | HI |
Addresses
Primary practice location
5290 Elvas Ave
Sacramento, CA 95819-2332
Mailing address
1416 Towse Dr
Woodland, CA 95776-6715
Phone (707) 365-7640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98050 | CA | MD | General Practice Physician |
| MD-12052 | HI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Nadir Alocozy Inc | Past | Accepting new patients | |
| Sa Haggerty, Inc., a Medical Corporation | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Doctor Sheryl
- General Practice Physician
- Sacramento, CA
- NPI 1992988513
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1467772426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1629053699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 TOWSE DR",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957766715",
"telephone_number": "707-365-7640",
"fax_number": "815-361-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 ELVAS AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192332",
"telephone_number": "916-739-1507",
"fax_number": "815-361-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGERTY",
"first_name": "SHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A98050",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD-12052",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.