SEQUOIA PEDIATRIC ORTHOPAEDICS MEDICAL CORPORATION (NPI# 1467502971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467502971 |
| Entity Type | Organization |
| Organization Name | SEQUOIA PEDIATRIC ORTHOPAEDICS MEDICAL CORPORATION |
| Practice Address |
9300 Valley Childrens Pl #fe10 Madera CA 93638-8761 |
| Mailing Address |
1187 N Willow Ave Ste 103 Pmb#17 Clovis CA 93611-4411 |
| Practice Telephone | 5593535944 |
| Mailing Telephone | 5593247300 |
| Mailing Fax Number | 5593247350 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM LAWRENCE HENNRIKUS JR. (PRESIDENT) |
| Authorized Official Telephone | 5593247300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
A41574 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0085690 | 05 | |
| CA | BLUE CROSS & BLUE SHIELD | ZZZ60690Z | 01 |
| Street Address |
9300 VALLEY CHILDRENS PL #FE10 |
| City | MADERA |
| State | CA |
| Zip Code | 93638-8761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699014464 | Deric H Nye | Orthopaedic Surgery | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2013-02-13 |
| 1366633554 | Thu-ba Leba | Orthopaedic Surgery | 9300 Valley Childrens Pl, Mail Stop Fe10, Madera, CA 93636-8761 | 2007-08-05 |
| 1902003460 | Kerry Lee Loveland | Orthopaedic Surgery | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2007-06-28 |
| 1407871734 | Joseph A Gerardi | Orthopaedic Surgery | 9300 Valley Childrens Pl, Mailstop Fe10, Madera, CA 93636-8761 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676559 | Michael Stuart Gurvey | Orthopaedic Surgery | 2390 Crombie Ct, Thousand Oaks, CA 91361-5322 | 2012-07-21 |
| 1447573779 | Darvin Charles Foo | Orthopaedic Surgery | 2425 Stockton Blvd Fl 7, Sacramento, CA 95817-2215 | 2010-03-01 |
| 1770793853 | Munir M Uwaydah | Orthopaedic Surgery | 211 S Maclay Ave, San Fernando, CA 91340-3603 | 2007-05-23 |
| 1689894057 | Lawrence Stephen Guinney | Orthopaedic Surgery | 4730 Hoen Ave, Santa Rosa, CA 95405-7868 | 2007-04-26 |
| 1275752602 | Richard Ros Ross Riddell | Orthopaedic Surgery | 20 N Vista De Catalina, Laguna Beach, CA 92651-6755 | 2007-04-24 |
| 1487700738 | James Gibson Gamble | Orthopaedic Surgery | 800 Welch Rd, Suite 212, Palo Alto, CA 94304-1607 | 2007-01-26 |
| 1801962360 | William Oppenheim | Orthopaedic Surgery | 10945 Le Conte Avenue, Rm 3355 Ubberoth Bldg Department of Orthopaedic Surgery, Los Angeles, CA 90095-6902 | 2006-11-27 |
| 1114005352 | Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | 2488 N. California St, Stockton, CA 95204-5508 | 2006-11-02 |
| 1528179793 | Regents of The University of California | Orthopaedic Surgery | 100 Medical Plaza Suite 755, Los Angeles, CA 90095-0001 | 2006-08-31 |
| 1215948740 | Leah M Pike | Orthopaedic Surgery | 3742 Katella Ave, 303, Los Alamitos, CA 90720-3102 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.