Sandra J. Haar, F.N.P
Individual provider Active NPI Family Nurse Practitioner · Gustine, CA
NPI 1104008465 · NPPES record last updated Oct 4, 2011
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 17, 2019.
Key facts
- NPI
- 1104008465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 10441 (CA)
- Practice address
- 554 5TH St
Gustine, CA 95322-1516 - Phone
- (209) 854-3854
- Fax
- (209) 854-6758
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10441 | CA | Yes |
Addresses
Primary practice location
554 5TH St
Gustine, CA 95322-1516
Mailing address
554 5TH St
Gustine, CA 95322-1516
Phone (209) 854-3854
Other providers in Gustine, CA
- Vanessa Connolly
- Jose Antonio Garcia
- Marina Garcia
- Esmeralda Guerrero
- Gustine Usd
- Danielle I Haro
- Adriana Herrera
- Pattabiraman Balam Iyer
- James S. Linville, O.D.
- Manmeet Johal
All providers in Gustine, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.