Individual provider Active NPI

Sandy Te Heng

  • Pharmacist
  • Oakland, CA
National Provider Identifier
1336643667
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH78310 Issued in CA
Practice address
3550 Fruitvale Ave
Oakland, CA 94602-2327
Phone
(510) 336-9305
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 78310 CA
Pharmacist 183500000X RPH78310 CA Primary

Addresses

Primary practice location

3550 Fruitvale Ave
Oakland, CA 94602-2327

Mailing address

3550 Fruitvale Ave
Oakland, CA 94602-2327
Phone (510) 336-9305

Other practice location 1

7400 Reseda Blvd
Reseda, CA 91335-2818
Phone (818) 776-2600

Other practice location 2

2001 Pacific Coast Hwy
Lomita, CA 90717-2604
Phone (310) 517-9535

Other practice location 3

2001 Pacific Coast Hwy
Lomita, CA 90717-2604
Phone (310) 517-9535

Other practice location 4

25829 Narbonne Ave
Lomita, CA 90717-3001

Other practice location 5

2001 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 517-9535

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

LicenseStateTypeSpecialty
78310CAMDPharmacist
RPH78310CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc PastSince Dec 6, 2022 Accepting new patients
Safeway Inc PastSince Dec 6, 2022 Accepting new patients
Garfield Beach CVS LLC Past Accepting new patients
Garfield Beach CVS LLC PastSince Mar 1, 2020 Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 5

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1336643667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022327",
            "telephone_number": "510-336-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022327",
            "telephone_number": "510-336-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Reseda Blvd",
            "address_purpose": "LOCATION",
            "city": "Reseda",
            "state": "CA",
            "postal_code": "913352818",
            "country_code": "US",
            "telephone_number": "818-776-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "907172604",
            "country_code": "US",
            "telephone_number": "310-517-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "907172604",
            "country_code": "US",
            "telephone_number": "310-517-9535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25829 Narbonne Ave",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "907173001",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Lomita",
            "state": "CA",
            "postal_code": "90717",
            "country_code": "US",
            "telephone_number": "310-517-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENG",
        "first_name": "SANDY",
        "middle_name": "TE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78310",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH78310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.