Active NPI
Sequoia Radiation Oncology Services, Inc
- Internal Medicine Physician
- Visalia, CA
National Provider Identifier
1861091795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SEQUOIA RADIATION ONCOLOGY SERVICES, INC
- Practice address
- 4945 W Cypress Ave Ste a
Visalia, CA 93277-1592 - Phone
- (559) 624-3100
- NPI assigned
- Oct 21, 2020
- Last updated
- Mar 10, 2021
- 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
- Tangel Chang, DO
- Title
- Ceo
- Phone
- (626) 428-2356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
4945 W Cypress Ave Ste a
Visalia, CA 93277-1592
Mailing address
2521 N Fontana St
Visalia, CA 93291-8196
Other practice location 1
1443 W 7th St
Hanford, CA 93230-4937
Phone (559) 585-7115
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | providerenrollment@kdhcd.org | Kaweah Delta Health Care District |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Visalia, CA
- NPI 1730747791
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615334400000",
"number": "1861091795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 N FONTANA ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4945 W CYPRESS AVE STE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932771592",
"telephone_number": "559-624-3100"
}
],
"practiceLocations": [
{
"address_1": "1443 W 7th St",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932304937",
"country_code": "US",
"telephone_number": "559-585-7115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SEQUOIA RADIATION ONCOLOGY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-21",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "TANGEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-428-2356",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "providerenrollment@kdhcd.org",
"affiliation": "Y",
"affiliationName": "Kaweah Delta Health Care District",
"address_1": "400 W Mineral King Ave",
"city": "Visalia",
"state": "CA",
"country_code": "US",
"postal_code": "932916237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Visalia, CA
- Sequoia Orthopaedic and Spine Institute Inc
- Sequoia Pediatric Group, Inc.
- Sequoia Podiatry Group, Inc. (Sequoia Foot Care Group)
- Sequoia Prosthetics & Orthotics, Inc. (Thomas J. Cutler)
- Sequoia Radiation Oncology Medical Associates, Inc
- Sequoia Regional Cancer Center
- Sequoia Surgery Center, LLC
- Mirian F Serafim
- Annette Wesley Serda
- William E Seringer, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.