Sabogal Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A100667 Issued in CA

Legal business name

SABOGAL MEDICAL CORPORATION

Practice address

400 W Mineral King Ave
Visalia, CA 93291-6237

Phone

(559) 624-2000

Fax

(559) 623-9899

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Juan C Sabogal Tamayo, M.D.NPI 1841406972

Title

Ceo

Phone

(559) 471-9364

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan C Sabogal Tamayo, MD

  • Obstetrics & Gynecology Physician
  • Visalia, CA
  • NPI 1841406972
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1679014328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W FERGUSON AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919108",
            "telephone_number": "559-471-9364",
            "fax_number": "559-623-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2000",
            "fax_number": "559-623-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABOGAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "SABOGAL TAMAYO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-471-9364",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A100667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S. Oh Dental Corp
• Barbara Sa
• Saab Dental PC
• Abdolreza Saadabadi, MD
• Ashley Nicole Saavedra, DO
• Juan C Sabogal Tamayo, MD
• Sadeghi, DMD & Shojaei, DDS, PC
• Pouria Sadeghi, M.D.
• Kelly Mouang Saechao-Elizalde
• Chiem Saechao

• Obstetrics & Gynecology Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.