Sandra Lynn Jay, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

316638 Issued in CA

Practice address

1450 Medical Center Drive
Suite 3
Rohnert Park, CA 94928

Phone

(707) 547-4684

Fax

(707) 585-7925

NPI assigned

Jan 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1205982071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 MONTGOMERY DR",
            "address_2": "STE 6",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054816",
            "telephone_number": "707-547-4684",
            "fax_number": "707-585-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 3",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "707-547-4684",
            "fax_number": "707-585-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "316638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Sahouria, DDS, Inc
• Claire Alise Jacobs
• Kimberly Jacobson
• James E Bruns OD a Professional
• Jason Kenji Reyda, DDS, Professional Corporation
• Jewish Community Free Clinic
• Sylvia Jimenez-Martin, M.A., P.P.S.
• JJ Sahouria, DDS, Inc
• Ameha Teklu Joba, DPM
• John F Unguren DDS Inc

• Family Nurse Practitioner in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.