SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC (NPI# 1740498047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740498047 |
| Entity Type | Organization |
| Organization Name | SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC |
| Practice Address |
125 Mall Dr 201 Hanford CA 93230-5787 |
| Practice Telephone | 5595842695 |
| Practice Fax Number | 5595842697 |
| Mailing Telephone | 5595842695 |
| Mailing Fax Number | 5595842697 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | EDYTHE W STEWART (OWNER) |
| Authorized Official Telephone | 5595842695 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A65931 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A659310 | 05 |
| Street Address |
125 MALL DR 201 |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164440822 | Daniel Joseph Schlund | Otolaryngology | 125 Mall Dr, Ste 307, Hanford, CA 93230-5794 | 2006-07-18 |
| 1821469230 | Adventist Health Physicians Network | Orthopaedic Surgery | 125 Mall Dr, Suite 205, Hanford, CA 93230-5787 | 2015-10-12 |
| 1780090332 | Adventist Health Physicians Network | Orthopaedic Surgery | 125 Mall Dr, 211a, Hanford, CA 93230-5787 | 2014-07-03 |
| 1144531377 | Kings River Surgical Center, LLC | Clinic/Center | 125 Mall Dr, Suite 105, Hanford, CA 93230-5786 | 2010-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760651608 | Sudeep Singh M.d., Inc | Specialist | 114 N 11th Ave, Hanford, CA 93230-4508 | 2008-02-25 |
| 1184716342 | Griffith Urology Clinic, PC | Specialist | 1004 N Douty St, Hanford, CA 93230-3723 | 2006-09-28 |
| 1285730929 | Luis Alberto Ayala | Specialist | 1250 N Irwin St, Hanford, CA 93230-2956 | 2006-09-16 |
| 1013923952 | David Wayne Nelson | Specialist | 440 Greenfield Ave Ste D, Hanford, CA 93230-3500 | 2006-07-31 |
| 1073527412 | Richard Romo | Specialist | 460 Greenfield Avenue, Hanford, CA 93230-3513 | 2006-07-29 |
| 1598786675 | Greenfield Medical Group | Specialist | 460 Greenfield Ave Ste 4, Hanford, CA 93230-3500 | 2006-07-22 |
| 1558302893 | Donald Lancy Allyn | Specialist | 125 Mall Dr., Suite 301, Hanford, CA 93230 | 2006-06-09 |
| 1164490967 | Hanumandla R Reddy | Specialist | 1114 W 6th St, Suite 106, Hanford, CA 93230-4901 | 2006-03-09 |
| 1760469373 | Daniel L. Engeberg | Specialist | 1105 N Douty St, Suite A, Hanford, CA 93230-3784 | 2005-12-23 |
| 1902807829 | Jeffrey William Csiszar | Specialist | 804 W 7th St, Hanford, CA 93230-4926 | 2005-08-02 |
| Find all providers in HANFORD | ||||
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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.