Sally A. Sample
Hospice and Palliative Medicine
3841 N Freeway Blvd Ste 210
Sacramento
, California 95834-1948
Sally A. Sample
Hospice and Palliative Medicine
3841 N Freeway Blvd Ste 210
Sacramento
, California 95834-1948
(916) 925-7010
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Sally A. Sample
- 658 Bianco Court
- Davis, CA
- Zip : 95616
- Phone : (916) 925-7010
Second Address
- Sally A. Sample
- 3841 N Freeway Blvd Ste 210
- Sacramento, CA
- Zip : 95834-1948
- Phone : (916) 925-7010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | G85941 | CA |
National Provider Identifier
| NPI | 1346336807 |
|---|---|
| Provider Name | Sally A. Sample |
| First Address | Davis, CA 95616 |
| Second Address | Sacramento, CA 95834-1948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 17/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000810342662 | PHCS (01) | CA |
| 082689 | HEALTH NET (01) | CA |
| 1327116 | UNITED HEALTHCARE (01) | CA |
| 1741911 | FIRST HEALTH (01) | CA |
| 1851073 | GREAT WEST (01) | CA |
| 3273994 | CIGNA (01) | CA |
| 4594534 | AETNA (01) | CA |
| 46355 | INTERPLAN (01) | CA |
| 90118919 | PACIFICARE (01) | CA |
| F89959 | (02) | |
| G85941 | BLUE CROSS (01) | CA |
| MCMG171600 | WESTERN HEALTH ADVANTAGE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.