Sergio Abarca, M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5250296 Issued in UT

Legal business name

SERGIO ABARCA, M.D., INC

Practice address

2356 N 400 E
Ste 201
Tooele, UT 84074

Phone

(435) 882-2350

Fax

(435) 882-2039

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Abarca, M.D.NPI 1245238617

Title

Medical Doctor

Phone

(435) 882-2350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Sergio Abarca, M.D.

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1245238617
  Medicare reassignment NPD Authorized official
• Brock Haskell

  • Physician Assistant
  • Draper, UT
  • NPI 1821627746
  Medicare reassignment

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1770766586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-2350",
            "fax_number": "435-882-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-2350",
            "fax_number": "435-882-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO ABARCA, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ABARCA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "435-882-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5250296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Anthony Satter, M.D
• Tracy E Schaffer, R.N.
• Darian Paige Scott, RBT
• Kory Scott, ACM
• Senior Managment Concepts
• Lane A, Serr, PHARM D
• Dean Dennis Severson, CRNA
• Joanna Keele Shaffer, RN
• Shannon D. Lawson DDS, PC
• Aiden Erickson Sharp, DDS

• Family Medicine Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.