Individual provider Active NPI

Leonard Gerald Sansing

  • Pharmacotherapy Pharmacist
  • Sacramento, CA
National Provider Identifier
1902022635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
31379 Issued in CA
Practice address
1314 Fulton Ave
Sacramento, CA 95825-3604
Phone
(916) 483-3486
Fax
(916) 483-9723
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 31379 CA Primary

Addresses

Primary practice location

1314 Fulton Ave
Sacramento, CA 95825-3604

Mailing address

PO Box 2683
Granite Bay, CA 95746-2683
Phone (916) 990-0450

Other identifiers 1

IdentifierTypeStateIssuer
AHCS072465OtherCANPI USER ID ONLY

Other names 1

  • Jerry Sansing Other name

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

LicenseStateTypeSpecialty
31379CAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902022635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2683",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957462683",
            "telephone_number": "916-990-0450",
            "fax_number": "916-450-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253604",
            "telephone_number": "916-483-3486",
            "fax_number": "916-483-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSING",
        "first_name": "LEONARD",
        "middle_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "31379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI USER ID ONLY",
            "identifier": "AHCS072465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "SANSING",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.