Kealani Sine MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A61936 Issued in CA

Legal business name

KEALANI SINE MD INC

Practice address

216 E Pine St
Exeter, CA 93221-1750

Phone

(559) 302-7456

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Kealani Kanehe Sine, MD

Title

Owner/President

Phone

(559) 302-7456

Specialties & licenses 1

Addresses

Other names 1

• Pine Street Pediatrics Doing business as

Locations

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

• Julianne E Randolph, DO

  • Pediatrics Physician
  • Visalia, CA
  • NPI 1508189952

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1780975904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211750",
            "telephone_number": "559-302-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALANI SINE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "SINE",
        "authorized_official_first_name": "KEALANI",
        "authorized_official_middle_name": "KANEHE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-302-7456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Street Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena J Juarez-Wilson, PTA
• Alexis Kapheim, MFTI
• Aaron Josef Kasser
• Simranpreet Kaur
• Kaweah Delta Health Care District
• Talaksoon Khademi, DO
• Kimberly Diane Klause-Flores, PSYD, AMFT, APPC, MA
• Tirian Ann Klein, MFTI
• Timothy George Koford, LMFT
• Kronk Chiropractic, Inc.

• All providers in Exeter, CA
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.