Organization Active NPI

Orrenzo Snyder MD Medical Corporation

Doing business as Sequoia Urology

  • Urology Physician
  • Porterville, CA
National Provider Identifier
1770763930
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ORRENZO SNYDER MD MEDICAL CORPORATION
Doing business as
Sequoia Urology
Practice address
263 Pearson Dr Ste 102
Porterville, CA 93257-3333
Phone
(559) 772-4301
Fax
(559) 772-4302
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Dr. Orrenzo B Snyder, MD
Title
President
Phone
(801) 935-1702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

263 Pearson Dr Ste 102
Porterville, CA 93257-3333

Mailing address

263 Pearson Dr Ste 102
Porterville, CA 93257-3333
Phone (559) 772-4301

Other identifiers 3

IdentifierTypeStateIssuer
P00324940OtherRAILROAD MEDICARE
987349MedicaidAZ
100507194MedicaidNV

Other names 1

  • Sequoia Urology Doing business as

National Provider Directory

National Provider Directory

Locations

263 Pearson Dr
Ste 102
Porterville, CA 93257
Phone (559) 772-4301

263 N 3rd St
#126
Porterville, CA 93257

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1770763930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 PEARSON DR STE 102",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573333",
            "telephone_number": "559-772-4301",
            "fax_number": "559-772-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PEARSON DR STE 102",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573333",
            "telephone_number": "559-772-4301",
            "fax_number": "559-772-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORRENZO SNYDER MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ORRENZO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-935-1702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00324940",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987349",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507194",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.