Active NPI
Sigma Ear Nose & Throat
- Otolaryngology Physician
- Pinole, CA
National Provider Identifier
1972268159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian P Conderman
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Orinda, CA
- NPI 1063741056
-
- Otolaryngology Physician
- Orinda, CA
- NPI 1336438670
-
- Otolaryngology Physician
- Stockton, CA
- NPI 1568411429
-
- Otolaryngology Physician
- Orinda, CA
- NPI 1801148242
-
- Student in an Organized Health Care Education/Training Program
- Santa Cruz, CA
- NPI 1982279972
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.