Active NPI
Sandra Lynn Nibbelink Ahearn, NP
- Family Nurse Practitioner
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95007904
- Practice address
- 3300 Vista Way Ste B
Oceanside, CA 92056-3633 - Phone
- (760) 967-9900
- Fax
- (760) 967-6769
- NPI assigned
- Oct 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95007904 | CA | Primary |
Addresses
Primary practice location
3300 Vista Way Ste B
Oceanside, CA 92056-3633
Mailing address
9373 Hazard Way Ste 200
Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Vista Way
Suite B
Oceanside, CA 92056-3633
Phone (760) 967-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95007904 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balboa Nephrology Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Balboa Nephrology Medical Group,Inc. | Current | Accepting new patients | |
| Richard a Weiner MD Inc | Current | Accepting new patients |
Locations
737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415
11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290
4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000
3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569
4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350
9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000
27412 Enterprise Cir W
Ste 102
Temecula, CA 92590
Phone (951) 694-6367
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- snibbelinkahearn36649@direct.acumenmd.com
Organizations & group practices 3
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.
-
- Nephrology Physician
- San Diego, CA
- NPI 1316997505
Nurse Practitioner
-
- Pain Medicine Physician
- Temecula, CA
- NPI 1386797769
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1598276404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1326513441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9373 HAZARD WAY STE 200",
"address_2": "STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231226",
"telephone_number": "858-810-8000",
"fax_number": "858-268-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 VISTA WAY STE B",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563633",
"telephone_number": "760-967-9900",
"fax_number": "760-967-6769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIBBELINK AHEARN",
"first_name": "SANDRA",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95007904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.