Individual provider Active NPI

Sandra Sloan

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1326913252
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95037161 Issued in CA
Practice address
10323 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-5056
Phone
(310) 340-0089
Fax
(310) 469-9073
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95037161 CA Primary

Addresses

Primary practice location

10323 Santa Monica Blvd Ste 108
Los Angeles, CA 90025-5056

Mailing address

PO Box 9122
Marina del Rey, CA 90295-1522
Phone (310) 340-0089

Other practice location 1

5120 Woodley Ave
Encino, CA 91436-1443
Phone (628) 432-7476

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
I20260327002286 CA Practitioner - Nurse Practitioner 2860977899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10323 Santa Monica Blvd
Suite 108a
Los Angeles, CA 90025-5056

6261 Katella Ave
Suite 200
Cypress, CA 90630-5200

PO Box
Suite 9122
Marina Del Rey, CA 90295-1522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95037161CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century City Psychiatry CurrentSince May 25, 2025 Accepting new patients
Mavida Care Group of New Jersey PC CurrentSince Oct 12, 2025 Accepting new patients

Locations

10323 Santa Monica Blvd
Ste 108A
Los Angeles, CA 90025
Phone (310) 340-0089

10323 Santa Monica Blvd
Ste 108
Los Angeles, CA 90025
Phone (310) 340-0089

Organizations & group practices 2

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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1326913252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9122",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902951522",
            "telephone_number": "310-340-0089",
            "fax_number": "310-469-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10323 SANTA MONICA BLVD STE 108",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255056",
            "telephone_number": "310-340-0089",
            "fax_number": "310-469-9073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 Woodley Ave",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914361443",
            "country_code": "US",
            "telephone_number": "628-432-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95037161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.