Individual provider Active NPI

Sandra Lynn Nibbelink Ahearn, NP

  • Family Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1326513441
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95007904 Issued in CA
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

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626003689 CA Practitioner - Nurse Practitioner 1850625765 Reassigns benefits to 2 organizations

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
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians

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

LicenseStateTypeSpecialty
NP95007904CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group, Inc. Nurse Practitioner CurrentSince Feb 5, 2022 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Feb 5, 2022 Accepting new patients
Richard a Weiner MD Inc CurrentSince Feb 10, 2019 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.