Frederick Sarpong, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95004084 Issued in CA

Practice address

1215 N Wabash Ave
Redlands, CA 92374-4963

Phone

(909) 794-0200

NPI assigned

Apr 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kolli Medical CorporationGroup PAC ID 4981827490, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: frederick.sarpong.p80@direct.kmsm.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kolli Medical Corporation

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1659716884
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1891140638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "909-794-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N WABASH AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744963",
            "telephone_number": "909-794-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARPONG",
        "first_name": "FREDERICK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katalena Anastasia Saracino, R.T. (R)(CT)(ARRT)
• Jessica Lynn Saran, LCSW
• Crystal Hennah Sarbuland, M.A.
• Erim Sarbuland, LMFT
• Nairy Sarkis, MD
• Sarwar Optometric Corp
• Martha Saucedo
• Sara Jesse Saucedo
• Kristalena Sauls, LCSW
• Christine R Saunders

• Nurse Practitioner in Redlands, CA
• Providers in Redlands, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.