Sandra Rae Hansbrough
Individual provider Active NPI Dental Hygienist · Forest Ranch, CA
NPI 1124886635 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1124886635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 20395 (CA)
- Practice address
- 15110 Siwini Rd # 132
Forest Ranch, CA 95942-9664 - Phone
- (530) 521-9300
- NPI assigned
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 20395 | CA | Yes |
Addresses
Primary practice location
15110 Siwini Rd # 132
Forest Ranch, CA 95942-9664
Mailing address
15110 Siwini Rd # 132
Forest Ranch, CA 95942-9664
Phone (530) 521-9300
Other providers in Forest Ranch, CA
All providers in Forest Ranch, CA · Dental Hygienist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.