Individual provider Active NPI

Sandra Nieto, MD

  • Obstetrics & Gynecology Physician
  • Montebello, CA
National Provider Identifier
1003830258
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A84185 Issued in CA
Practice address
433 N 4TH St Ste 211
Montebello, CA 90640-4309
Phone
(323) 786-8333
Fax
(323) 967-6067
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A84185 CA Primary

Addresses

Primary practice location

433 N 4TH St Ste 211
Montebello, CA 90640-4309

Mailing address

8531 Via Sierra Ramal Ave
Whittier, CA 90605-1246
Phone (323) 786-8833

Other identifiers 2

IdentifierTypeStateIssuer
AR026AOtherCAMEDICARE PTAN
1003830258OtherCANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL OfficeAlly Health Information Exchange (HIE) Sandra Nieto, MD, A Medical Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051117000442 CA Practitioner - Obstetrics/Gynecology 6800815960 Practice locations: Montebello, CA; Whittier, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14350 Whittier Blvd
Suite 310
Whittier, CA 90605-2152
Phone (323) 786-8833

Hospital & facility affiliations

  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84185CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Nieto, MD, a Medical Corporation Obstetrics & Gynecology CurrentSince Sep 11, 2022 Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Ej Guzman, MD Inc Obstetrics & Gynecology PastSince Sep 11, 2022 Accepting new patients

Locations

433 N 4th St
Ste 211
Montebello, CA 90640
Phone (323) 786-8333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/whithsp-4ffaab7c

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1003830258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 VIA SIERRA RAMAL AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051246",
            "telephone_number": "323-786-8833",
            "fax_number": "323-967-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 211",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-786-8333",
            "fax_number": "323-967-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A84185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AR026A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003830258",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OfficeAlly",
            "affiliation": "Y",
            "endpointDescription": "EHR software",
            "affiliationName": "Sandra Nieto, MD, A Medical Corporation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "433 N 4th St Ste 211",
            "city": "Montebello",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906404309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.