Active NPI
Orrenzo Snyder MD Medical Corporation
Doing business as Sequoia Urology
- Urology Physician
- Porterville, CA
National Provider Identifier
1770763930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00324940 | Other | RAILROAD MEDICARE | |
| 987349 | Medicaid | AZ | |
| 100507194 | Medicaid | NV |
Other names 1
- Sequoia Urology
National Provider Directory
National Provider DirectoryLocations
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.