Organization Active NPI

Sigma Ear Nose & Throat

  • Otolaryngology Physician
  • Pinole, CA
National Provider Identifier
1972268159
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SIGMA EAR NOSE & THROAT
Practice address
1700 San Pablo Ave Ste F
Pinole, CA 94564-2082
Phone
(510) 724-6662
Fax
(510) 724-1923
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Christian P CondermanNPI 1063741056
Title
Owner
Phone
(510) 483-3565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

1700 San Pablo Ave Ste F
Pinole, CA 94564-2082

Mailing address

1700 San Pablo Ave Ste F
Pinole, CA 94564-2082

Other practice location 1

410 Estudillo Ave
San Leandro, CA 94577-4908
Phone (510) 483-3565

Other practice location 2

77 Moraga Way Ste G
Orinda, CA 94563-3019
Phone (925) 254-6710

Other names 1

  • SIGMA ENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211201002761 CA Part B Supplier - Clinic/Group Practice 2466842646 Receives reassigned benefits from 5 practitioners
Practice locations: Orinda, CA; Pinole, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1972268159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE STE F",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAN PABLO AVE STE F",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642082",
            "telephone_number": "510-724-6662",
            "fax_number": "510-724-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Estudillo Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774908",
            "country_code": "US",
            "telephone_number": "510-483-3565",
            "fax_number": "510-483-3566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Moraga Way Ste G",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633019",
            "country_code": "US",
            "telephone_number": "925-254-6710",
            "fax_number": "925-254-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIGMA EAR NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "CONDERMAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-483-3565"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGMA ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.

Verify at the official NPI Registry.