Active NPI
Sarah Landis, PA-C
- Physician Assistant
- Encinitas, CA
National Provider Identifier
1144733676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58826
- Practice address
- 1130 2ND St
Encinitas, CA 92024-5008 - Phone
- (760) 736-6767
- Fax
- (760) 736-8740
- NPI assigned
- Nov 7, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 58826 | CA | Primary |
Addresses
Primary practice location
1130 2ND St
Encinitas, CA 92024-5008
Mailing address
1130 2ND St
Encinitas, CA 92024-5008
Phone (760) 736-6767
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58826 | CA | MD | Physician Assistant |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| North County Health Project Inc | Current | Accepting new patients | |
| Washington State Department of Corrections Coyote Ridge Corrections Ce | Past | Accepting new patients |
Locations
1130 2nd St
Encinitas, CA 92024
Phone (760) 753-7842
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- slandis750555@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
- Federally Qualified Health Center (FQHC)
- Oceanside, CA
- NPI 1720233893
-
- Prison Health Clinic/Center
- Connell, WA
- NPI 1629369095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733788800000",
"number": "1144733676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 2ND ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245008",
"telephone_number": "760-736-6767",
"fax_number": "760-736-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 2ND ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245008",
"telephone_number": "760-736-6767",
"fax_number": "760-736-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "SARAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-07",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.