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SALLY A. SAMPLE M.D.
NPI 1346336807
Internal Medicine - Hospice and Palliative Medicine in Sacramento, CA

Active since October 04, 2006PECOS Enrolled
3841 N FREEWAY BLVD STE 210, SACRAMENTO, CA 95834(916) 925-7010 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally A. Sample M.d. NPPES

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

SALLY A. SAMPLE M.D. (NPI 1346336807) is an individual hospice and palliative medicine provider in Sacramento, California, licensed in California (G85941) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346336807
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameSALLY A. SAMPLECredential: M.D.
Location Address3841 N FREEWAY BLVD STE 210Sacramento, CA 95834-1948
Mailing Address658 Bianco CourtDavis, CA 95616 · (916) 925-7010
Phone(916) 925-7010
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 17, 2016
✔ NPI 1346336807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · G85941
Definition
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.
3841 N FREEWAY BLVD STE 210, Sacramento, CA 95834
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Other Identifiers 13

Other3273994CA · Cigna
Other1741911CA · First Health
Other4594534CA · Aetna
OtherMCMG171600CA · Western Health Advantage
Medicare ID-Type Unspecified00G859410CA
Other082689CA · Health Net
Other1851073CA · Great West
Other46355CA · Interplan
Other90118919CA · Pacificare
Medicare UPINF89959
Other000810342662CA · Phcs
Other1327116CA · United Healthcare
OtherG85941CA · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally A. Sample M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Sally Sample's NPI number?

The NPI number for Sally Sample is 1346336807. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Sally Sample located?

Sally Sample practices at 3841 N Freeway Blvd Ste 210, Sacramento, CA 95834. The listed phone number is (916) 925-7010.

What is Sally Sample's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Sally Sample enrolled in Medicare?

Yes. Sally Sample is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Sample was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.