Sequoia Surgical Specialists Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A65931 Issued in CA

Legal business name

SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC

Practice address

125 Mall Dr
201
Hanford, CA 93230-5787

Phone

(559) 584-2695

Fax

(559) 584-2697

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Edythe W Stewart, MD

Title

Owner

Phone

(559) 584-2695

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1740498047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MALL DR",
            "address_2": "201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305787",
            "telephone_number": "559-584-2695",
            "fax_number": "559-584-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MALL DR",
            "address_2": "201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305787",
            "telephone_number": "559-584-2695",
            "fax_number": "559-584-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-584-2695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A659310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sensory Rock LLC
• Jesslyn R Sepeda, CPSS
• Vanessa Lunes Sequeira
• Sequoia Oncology Medical Assoc
• Sequoia Radiation Oncology Medical Associates, Inc.
• Ricardo Serna
• Adriana Serrano
• Ronald D Severns, LCSW
• Sivothayan Sevvanthiraja
• Aakash Shah, O.D

• Specialist in Hanford, CA
• Providers in Hanford, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.