Individual provider Active NPI

Nicole Sandler, NP

  • Internal Medicine Physician
  • Lake Forest, CA
National Provider Identifier
1346933165
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
95024590 Issued in CA
Practice address
25422 Trabuco Rd # 105-154
Lake Forest, CA 92630-2791
Phone
(949) 264-2383
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 95024590 CA
Adult Health Nurse Practitioner 363LA2200X 95024590 CA
Internal Medicine Physician 207R00000X 95024590 CA Primary

Addresses

Primary practice location

25422 Trabuco Rd # 105-154
Lake Forest, CA 92630-2791

Mailing address

25422 Trabuco Rd # 105-154
Lake Forest, CA 92630-2791
Phone (949) 264-2383

Other practice location 1

5797 Washington Blvd
Culver City, CA 90232-7336
Phone (424) 433-4770

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
I20260526002806 CA Practitioner - Nurse Practitioner 5294205795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25422 Trabuco Rd
Lake Forest, CA 92630-2791

25422 Trabuco Rd
Lake Forest, CA 92630-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024590CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandler Nurse Practitioner Services CurrentSince Oct 12, 2025 Accepting new patients
Washington Medical Clinic Inc Internal Medicine CurrentSince May 5, 2026 Accepting new patients

Locations

5797 Washington Blvd
Culver City, CA 90232
Phone (323) 653-3500

25422 Trabuco Rd
#105154
Lake Forest, CA 92630
Phone (949) 264-2383

Interoperability endpoints

  • Direct secure messaging: nicole.sandler.p45@direct.omnieyeatlanta.nextgenshare.com

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1346933165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD # 105-154",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-264-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25422 TRABUCO RD # 105-154",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302791",
            "telephone_number": "949-264-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5797 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902327336",
            "country_code": "US",
            "telephone_number": "424-433-4770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "95024590",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95024590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "95024590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.