Active NPI
Sandra Jean Brock
- Oncology Registered Nurse
- Concord, CA
National Provider Identifier
1063121416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- 748023
- Practice address
- 1219 Illinois CT
Concord, CA 94521-4612 - Phone
- (925) 989-0588
- NPI assigned
- Nov 15, 2022
- 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 |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | 748023 | CA | Primary |
Addresses
Primary practice location
1219 Illinois CT
Concord, CA 94521-4612
Mailing address
1219 Illinois CT
Concord, CA 94521-4612
Phone (925) 989-0588
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sandra.brock@ucsf.edu | Other | |
| Direct Messaging Address | sandra.brock@ucsf.edu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 748023 | CA | MD | Oncology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1063121416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 ILLINOIS CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214612",
"telephone_number": "925-989-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 ILLINOIS CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214612",
"telephone_number": "925-989-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "SANDRA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "CA",
"license": "748023",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sandra.brock@ucsf.edu",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "sandra.brock@ucsf.edu",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "workplace email",
"address_1": "505 Parnassus Ave",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941432204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sandra.brock@ucsf.edu",
"affiliation": "N",
"endpointDescription": "employment email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sandra.brock@ucsf.edu",
"address_1": "1219 Illinois Ct",
"city": "Concord",
"state": "CA",
"country_code": "US",
"postal_code": "945214612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.