Active NPI
Sandy Wisa
- Pharmacist
- Long Beach, CA
National Provider Identifier
1316875297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH92184
- Practice address
- 2627 Pacific Ave
Long Beach, CA 90806-2610 - Phone
- (562) 490-9575
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH92184 | CA | Primary |
Addresses
Primary practice location
2627 Pacific Ave
Long Beach, CA 90806-2610
Mailing address
33 Promenade
Irvine, CA 92612-1706
Phone (951) 992-7849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH92184 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1316875297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PROMENADE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121706",
"telephone_number": "951-992-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062610",
"telephone_number": "562-490-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISA",
"first_name": "SANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-12",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH92184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.