Sy Sophamixay-Essegian, D.O.
Individual provider Active NPI Family Medicine Physician · Kingsburg, CA
NPI 1992936157 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1992936157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A10120 (CA)
- Practice address
- 121 Sierra St
Kingsburg, CA 93631-1732 - Phone
- (559) 326-5320
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091106000227 | CA | Practitioner - Family Practice | 9234277542 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Team Inc. | Current |
Accepting new patients | |
| Valley Health Team, Inc | Current |
Accepting new patients | |
| Valley Health Team, Inc. | Current | Accepting new patients | |
| Reedley Community Hospital | Current |
Accepting new patients | |
| Reedley Community Hospital | Current |
Accepting new patients | |
| Valley Health Team, Inc. | Family Medicine | Current | Accepting new patients |
| Central Valley General Hospital | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Locations
250 W El Monte Way
Dinuba, CA 93618
Phone (559) 595-9890
121 W Sierra St
Kingsburg, CA 93631
Phone (559) 326-5320
1250 Smith St
Kingsburg, CA 93631
Phone (559) 326-5320
811 E 11th St
Reedley, CA 93654
Phone (559) 391-3120
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
21890 W Colorado Ave
San Joaquin, CA 93660
Phone (559) 693-2462
2141 High St
Selma, CA 93662
Phone (559) 856-6110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A10120 | CA | Yes |
Addresses
Primary practice location
121 Sierra St
Kingsburg, CA 93631-1732
Mailing address
4969 E Floradora Ave
Fresno, CA 93727-1924
Phone (559) 892-8795
Other practice location 1
2141 High St
Selma, CA 93662-3065
Phone (559) 891-2611
Other providers in Kingsburg, CA
- Gurpreet Kaur Sidhu
- Gianna Sidoti
- Eric Lane Silvius
- Linda Simmons
- Marikit Beth Smith
- Veronica Soto
- Kelly Souza
- Robert B Stillwagon
- Doris M Stype
- Ginger Summers
All providers in Kingsburg, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.