Active NPI
Terrance Sisco
- Driver
- Folsom, CA
National Provider Identifier
1861200362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- C4267060
- Practice address
- 9580 Oak Avenue Pkwy Ste 7-162
Folsom, CA 95630-1888 - Phone
- (714) 322-1344
- NPI assigned
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | C4267060 | CA | Primary |
Addresses
Primary practice location
9580 Oak Avenue Pkwy Ste 7-162
Folsom, CA 95630-1888
Mailing address
9580 Oak Avenue Pkwy Ste 7-162
Folsom, CA 95630-1888
Phone (714) 322-1344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4267060 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigilant Physicians Readers, Inc | Current | Accepting new patients | |
| Satellite Medical Inc | Current | Accepting new patients | |
| Synergy Iom, LLC | Current | Accepting new patients | |
| Satellite Medical LLC | Current | Accepting new patients |
Locations
9580 Oak Avenue Pkwy
Ste 7162
Folsom, CA 95630
Phone (619) 393-5299
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Folsom, CA
- NPI 1639765670
-
- Electroneurodiagnostic Specialist/Technologist
- Folsom, CA
- NPI 1184191256
-
- Electroneurodiagnostic Specialist/Technologist
- Newport Beach, CA
- NPI 1104398817
-
- Surgical Technologist
- Southlake, TX
- NPI 1194161521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1861200362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9580 OAK AVENUE PKWY STE 7-162",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956301888",
"telephone_number": "714-322-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9580 OAK AVENUE PKWY STE 7-162",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956301888",
"telephone_number": "714-322-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISCO",
"first_name": "TERRANCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "C4267060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.