Sandie Moreno, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

A9C4Y2N4 Issued in CA

Practice address

5915 Spring Glen Dr
Fair Oaks, CA 95628-2729

Phone

(916) 470-2439

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1194595751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 SPRING GLEN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282729",
            "telephone_number": "916-470-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 SPRING GLEN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956282729",
            "telephone_number": "916-470-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "SANDIE",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "A9C4Y2N4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Montgomery, B.C.B.A.
• Myles Bradley Montgomery, LCSW
• Jabarious Moore
• Jacob Ryan Moore
• Deborah Nicole Morell
• Kent Morrison, MA, LAADC-R, CADC II
• Blair Vernal Moser II, D.D.S.
• Sai Moua, PHARMD
• Carmelina Mule, PSY. D
• Kerri S Mulligan, RD

• Phlebotomy Technician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.