Active NPI
Saundra Small
- Pediatric Nurse Practitioner
- North Highlands, CA
National Provider Identifier
1033988720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95028455
- Practice address
- 4815 Watt Ave
North Highlands, CA 95660-5108 - Phone
- (916) 569-8484
- Fax
- (916) 256-2214
- NPI assigned
- Dec 22, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95028455 | CA | Primary |
Addresses
Primary practice location
4815 Watt Ave
North Highlands, CA 95660-5108
Mailing address
670 Rio Lindo Ave Ste 300
Chico, CA 95926-1828
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 |
|---|---|---|---|
| 95028455 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1033988720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 RIO LINDO AVE STE 300",
"city": "CHICO",
"state": "CA",
"postal_code": "959261828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605108",
"telephone_number": "916-569-8484",
"fax_number": "916-256-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "SAUNDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95028455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.