Sandra De Roldan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

694981 Issued in CA

Practice address

610 Euclid Ave
Suite 302
National City, CA 91950-2951

Phone

(619) 527-7700

Fax

(619) 527-3226

NPI assigned

Feb 21, 2013

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sderoldan32454@sharphealthcare.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Medical Group of San Diego

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1568400455
  Medicare reassignment NPD

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1235479627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-527-7700",
            "fax_number": "619-527-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EUCLID AVE",
            "address_2": "SUITE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502951",
            "telephone_number": "619-527-7700",
            "fax_number": "619-527-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROLDAN",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "694981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca David
• Christopher Michael Day, MD
• Sharlene Joyce Sison De Castro
• Dave De Jesus, OTR/L
• Jamie Rose Tanciatco De Leon
• Deaf Community Services of San Diego Inc
• Brianna Maria Dean
• Gracie Noel Deerwester
• Michael James Defries, RN
• Cristina Elizabeth Deis, MD

• Family Nurse Practitioner in National City, CA
• Providers in National City, 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 Nov 17, 2020; 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.

Verify at the official NPI Registry.