Trinity Healthcare Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A19505 Issued in CA

Legal business name

TRINITY HEALTHCARE ASSOCIATES

Practice address

145 Solano St
Corning, CA 96021-3511

Phone

(530) 824-5401

Fax

(530) 824-1188

NPI assigned

May 14, 2010

Last updated

May 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra Lee Bagwell, PHD, FNP-CNPI 1801830880

Title

President

Phone

(530) 824-5401

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Sandra Lee Bagwell, PHD, FNP

  • Family Nurse Practitioner
  • Red Bluff, CA
  • NPI 1801830880
  NPD (past) Authorized official

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1881912848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213511",
            "telephone_number": "530-824-5401",
            "fax_number": "530-824-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960213511",
            "telephone_number": "530-824-5401",
            "fax_number": "530-824-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-824-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "363069",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A19505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 06188)
• Timothy W. Robertson, O.D., Professional Corporation (Corning Eyecare Center of Optometry)
• Tin RX the Independent Network, Inc. (TIN Rx)
• Clementina Torres
• Grant Williams Trimble, PA-C
• Victoria Viveros-Zarco
• Jacqueline Voisine, PHYSCH TECH
• Logan Charles Walker, FNP
• Sherylanne Donna Kay Warren, RDH, EPDH, MS
• West-End Pharmacy

• Internal Medicine Physician in Corning, CA
• Providers in Corning, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.