NPIMap

Organization Active NPI

Sanger Walk-in Clinic & Wellness Center

  • Family Medicine Physician
  • Sanger, CA
National Provider Identifier
1982823878
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G12981 Issued in CA
Legal business name
SANGER WALK-IN CLINIC & WELLNESS CENTER
Practice address
2535 Jensen Ave
Sanger, CA 93657-2288
Phone
(559) 876-6070
Fax
(559) 876-6078
NPI assigned
Apr 25, 2007
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Joseph I Idoni, PANPI 1841296936
Title
Owner
Phone
(559) 876-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G12981 CA Primary

Addresses

Primary practice location

2535 Jensen Ave
Sanger, CA 93657-2288

Mailing address

2535 Jensen Ave
Sanger, CA 93657-2288
Phone (559) 876-6070

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ04986ZOtherCAMEDICARE GROUP #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1982823878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572288",
            "telephone_number": "559-876-6070",
            "fax_number": "559-876-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572288",
            "telephone_number": "559-876-6070",
            "fax_number": "559-876-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGER WALK-IN CLINIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "IDONI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-876-6070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G12981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "ZZZ04986Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.