Sa Haggerty, Inc., a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A98050 Issued in CA

Legal business name

SA HAGGERTY, INC., A MEDICAL CORPORATION

Doing business as

Doctor Sheryl

Practice address

5290 Elvas Ave
Sacramento, CA 95819-2332

Phone

(916) 739-1507

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheryl Ann Haggerty, M.D.NPI 1629053699

Title

Ceo

Phone

(707) 365-7640

Specialties & licenses 1

Addresses

Other names 1

• Doctor Sheryl Doing business as

Locations

Practitioners 4

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.

• Sheryl Ann Haggerty, M.D.

  • General Practice Physician
  • Sacramento, CA
  • NPI 1629053699
  NPD (past) Authorized official
• Tracey Lynn Delnero, PA-C

  • Medical Physician Assistant
  • Sacramento, CA
  • NPI 1821141144
  NPD (past)
• William Roy Dugdale, M.D

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1992784235
  NPD (past)
• Charles Wayne Williams, CNS.,NP.

  • Gerontology Clinical Nurse Specialist
  • Elk Grove, CA
  • NPI 1851455372
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1992988513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 TOWSE DR",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766715",
            "telephone_number": "707-365-7640",
            "fax_number": "815-361-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 ELVAS AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958192332",
            "telephone_number": "916-739-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA HAGGERTY, INC., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-365-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A98050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor Sheryl",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.