Active NPI
Sandy Khristine Santos, LVN
- Licensed Vocational Nurse
- Antioch, CA
National Provider Identifier
1023563111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN250754
- Practice address
- 1711 Kern Mountain Way
Antioch, CA 94531-7817 - Phone
- (925) 550-0163
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN250754 | CA | Primary |
Addresses
Primary practice location
1711 Kern Mountain Way
Antioch, CA 94531-7817
Mailing address
1711 Kern Mountain Way
Antioch, CA 94531-7817
Phone (925) 550-0163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN250754 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1023563111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 KERN MOUNTAIN WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945317817",
"telephone_number": "925-550-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 KERN MOUNTAIN WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945317817",
"telephone_number": "925-550-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "SANDY",
"middle_name": "KHRISTINE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN250754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.