Carrie Michelle Famatid Sandico, L.V.N

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN 248115 Issued in CA

Practice address

6551 Alyssa Dr
San Jose, CA 95138-1309

Phone

(408) 904-8288

NPI assigned

May 29, 2012

Last updated

Aug 30, 2012By the provider in NPPES

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

Other identifiers 1

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1215297916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 ALYSSA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381309",
            "telephone_number": "408-904-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 ALYSSA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381309",
            "telephone_number": "408-904-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDICO",
        "first_name": "CARRIE MICHELLE",
        "middle_name": "FAMATID",
        "credential": "L.V.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 248115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSANDICO13",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahibpreet Sandhu
• Sandeep Sandhu
• Shanjit Singh Sandhu
• Sharnjeet Kaur Sandhu, D.C.
• Surmeet Sandhu, BCBA
• Kawanna Sandifer
• Michelle Elizabeth Sandler, MA, LMFT
• Andrea Paola Sandoval Azucena
• Genevieve Sandoval Sanchez
• Hermelinda Sandoval

• Licensed Vocational Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.