Individual provider Active NPI

Anna Sandstrom, MD

  • Pediatric Endocrinology Physician
  • Oxnard, CA
National Provider Identifier
1043382856
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
A44162 Issued in CA
Practice address
2000 Outlet Center Dr
Suite 110
Oxnard, CA 93036-0607
Phone
(805) 604-4588
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X A44162 CA Primary

Addresses

Primary practice location

2000 Outlet Center Dr
Suite 110
Oxnard, CA 93036-0607

Mailing address

2000 Outlet Center Dr
Suite 110
Oxnard, CA 93036-0607
Phone (805) 604-4588

Other identifiers 1

IdentifierTypeStateIssuer
00A441620MedicaidCA

Other names 1

  • Anna Englund Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080320000667 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 6204912934 Reassigns benefits to 1 organization
I20191210003476 AZ Practitioner - EndocrinologyPractitioner - Pediatric Medicine 6204912934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44162CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jan 1, 2020 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jan 1, 2020 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Jul 6, 2010 Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 214
Glendale, AZ 85306
Phone (602) 865-4480

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199491200000",
    "number": "1043382856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OUTLET CENTER DR",
            "address_2": "SUITE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360607",
            "telephone_number": "805-604-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OUTLET CENTER DR",
            "address_2": "SUITE 110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360607",
            "telephone_number": "805-604-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "A44162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A441620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "ENGLUND",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.