SANGER PEDIATRICS A MEDICAL CORPORATION
NPI 1245309772
Clinic/Center - Health Service in Sanger, CA

Q: What is Sanger Pediatrics A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since November 07, 2006CLIA 05D1048795 · Waiver

2640 JENSEN AVE, SANGER, CA 93657(559) 876-1402(559) 876-9461 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sanger Pediatrics A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANGER PEDIATRICS A MEDICAL CORPORATION (NPI 1245309772) is a healthcare organization registered as a health service in Sanger, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Emerson B Walls, President, as its authorized official.

NPPES Registry Identity

NPI1245309772

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameSANGER PEDIATRICS A MEDICAL CORPORATION

Location Address2640 JENSEN AVESanger, CA 93657-9777

Mailing Address2640 Jensen AveSanger, CA 93657-9777 · (559) 876-1402 · Fax (559) 876-9461

Phone(559) 876-1402

Fax(559) 876-9461

Organization SubpartNo

Authorized OfficialEmerson B WallsPresident · (559) 876-1402

Enumeration DateNovember 7, 2006

Last NPPES UpdateNovember 12, 2010

✔ NPI 1245309772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

License✔ Licensed in CA · 20A5923

2640 JENSEN AVE, Sanger, CA 93657

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1048795

Sanger Pediatrics · Sanger, CA

Active · expires Dec 11, 2027

CLIA Number05D1048795

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorEmerson B. Walls, Do

Laboratory Phone(559) 876-1402

Laboratory LocationSanger Pediatrics2640 Jensen Ave, Sanger, CA 93657

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDON KIM

Physician Assistant

2640 JENSEN AVE
SANGER, CA 93657

Fresno County (559) 876-1402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanger Pediatrics A Medical Corporation's NPI number?

The NPI number for Sanger Pediatrics A Medical Corporation is 1245309772. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Sanger Pediatrics A Medical Corporation located?

Sanger Pediatrics A Medical Corporation is located at 2640 Jensen Ave, Sanger, CA 93657. The listed phone number is (559) 876-1402.

What is Sanger Pediatrics A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Sanger Pediatrics A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1048795) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanger Pediatrics A Medical Corporation was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.