Urmila Sandhu, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

19025 Issued in CA

Practice address

50 Branscomb Rd
Laytonville, CA 95454

Phone

(707) 984-6131

Fax

(707) 984-7337

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Harry B Matossian, M.D.

  • Ambulatory Surgical Clinic/Center
  • Ukiah, CA
  • NPI 1851682850
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1083737258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "954540870",
            "telephone_number": "707-984-6131",
            "fax_number": "707-984-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BRANSCOMB RD",
            "city": "LAYTONVILLE",
            "state": "CA",
            "postal_code": "95454",
            "telephone_number": "707-984-6131",
            "fax_number": "707-984-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "URMILA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC  70034F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Megan Morse
• Candy Muzio, NCAC II, CADC II
• Sharon Paltin, M.D.
• Cecelia Pooleygillespie
• Marlin Press, L. AC.
• Jayma Spence
• Roland Spence
• Jennifer Suzanne Tari, PSY.D.
• Clinton Edward Thompson, M.D.

• Physician Assistant in Laytonville, CA
• Providers in Laytonville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.