SALLY A. SAMPLE (NPI# 1346336807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346336807 |
| Entity Type | Individual |
| Full Name | SALLY A. SAMPLE |
| Credential | M.D. |
| Practice Address |
3841 N Freeway Blvd Ste 210 Sacramento CA 95834-1948 |
| Mailing Address |
658 Bianco Court Davis CA 95616 |
| Practice Telephone | 9169257010 |
| Mailing Telephone | 9169257010 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
G85941 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHCS | 000810342662 | 01 |
| CA | AETNA | 4594534 | 01 |
| CA | INTERPLAN | 46355 | 01 |
| CA | UNITED HEALTHCARE | 1327116 | 01 |
| CA | GREAT WEST | 1851073 | 01 |
| CA | PACIFICARE | 90118919 | 01 |
| CA | FIRST HEALTH | 1741911 | 01 |
| CA | BLUE CROSS | G85941 | 01 |
| CA | HEALTH NET | 082689 | 01 |
| CA | CIGNA | 3273994 | 01 |
| CA | WESTERN HEALTH ADVANTAGE | MCMG171600 | 01 |
| Street Address |
3841 N FREEWAY BLVD STE 210 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758596 | Odyssey Healthcare Operating A Lp | Internal Medicine | 2055 Gateway Pl Ste 600, San Jose, CA 95110-1083 | 2020-10-20 |
| 1851990907 | Odyssey Healthcare Operating A Lp | Internal Medicine | 9444 Balboa Ave Ste 290, San Diego, CA 92123-4901 | 2020-10-20 |
| 1700404852 | Envisage Palliative Care | Internal Medicine | 7369 Solstice Pl, Rancho Cucamonga, CA 91739-8769 | 2020-07-06 |
| 1528683398 | A-1 Healthcare Management | Internal Medicine | 5011 Argosy Ave Ste 4, Huntington Beach, CA 92649-1002 | 2020-06-08 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1043771678 | Linda Sara Blum | Internal Medicine | 2351 Clay St Ste 339, San Francisco, CA 94115-1931 | 2019-03-27 |
| 1710458245 | Enlightened Healthcare Alliance Medical Corporation | Internal Medicine | 662 Encinitas Blvd Ste 220, Encinitas, CA 92024-6791 | 2018-12-10 |
| 1245745009 | Haiven Hospice Inc | Internal Medicine | 1255 W Colton Ave Ste 564, Redlands, CA 92374-2861 | 2017-12-02 |
| 1174980452 | Aspire Health Medical Partners of California, PC | Internal Medicine | 117 E Colorado Blvd, Suite 600, Pasadena, CA 91105-1938 | 2016-01-18 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
Please comment or provide details below to improve the information on SALLY A. SAMPLE.
| 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.