Individual provider Active NPI

Sara Normani

  • Family Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1053640581
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22527 Issued in CA
Practice address
150 W Crest St
Escondido, CA 92025-1706
Phone
(760) 690-7186
NPI assigned
Dec 11, 2009
Last updated
Jun 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22527 CA Primary
Registered Nurse 163W00000X 763892 CA

Addresses

Primary practice location

150 W Crest St
Escondido, CA 92025-1706

Mailing address

35056 Knollview CT
Winchester, CA 92596-8440
Phone (760) 212-5088

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729003258 CA Practitioner - Nurse Practitioner 1951697499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22527CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation CurrentSince Oct 9, 2023 Accepting new patients
Lightbridge Hospice, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

27720 Jefferson Ave
Ste 200
Temecula, CA 92590
Phone (760) 796-3758

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1053640581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35056 KNOLLVIEW CT",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968440",
            "telephone_number": "760-212-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W CREST ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251706",
            "telephone_number": "760-690-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMANI",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22527",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "763892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.