Sage D Eckenroth

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

813361 Issued in CA

Practice address

220 Rotanzi St
Ramona, CA 92065-2583

Phone

(760) 310-9988

NPI assigned

Jun 17, 2024

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seckenroth750370@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North County Health Project Inc

  dba TrueCare

  • Federally Qualified Health Center (FQHC)
  • San Marcos, CA
  • NPI 1245246917
  Medicare reassignment NPD
• North County Health Project Inc

  dba TrueCare

  • Federally Qualified Health Center (FQHC)
  • Carlsbad, CA
  • NPI 1255347704
  NPD
• North County Health Project Inc

  dba TrueCare

  • Federally Qualified Health Center (FQHC)
  • San Marcos, CA
  • NPI 1588489975
  NPD
• North County Health Project Inc

  dba TrueCare

  • Federally Qualified Health Center (FQHC)
  • Ramona, CA
  • NPI 1073529681
  NPD (past)

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1982447884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ROTANZI ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652583",
            "telephone_number": "760-736-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROTANZI ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652583",
            "telephone_number": "760-310-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKENROTH",
        "first_name": "SAGE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "813361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Cherise Devermann, LCSW
• Huy Truong Diep, PHARMD
• Chinh N Doan, NP
• Duane Nowack a Professional Dental Corporation
• Sally E Dunn, LMFT
• Reva Gayle Edwards, BSW
• Hannah Marie Emami, MSW, PPSC
• Christine L Falkosky, D.M.D.
• Susan Farrish, MD
• Christopher Ferdman, PTA

• Family Nurse Practitioner in Ramona, CA
• Providers in Ramona, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.