Individual provider Active NPI

Christine Sandoval McMillan, NP-C

  • Family Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1376812073
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP20887 Issued in CA
Practice address
355 Campus Dr
Suite a
Hanford, CA 93230-4310
Phone
(559) 584-0668
NPI assigned
Dec 26, 2011
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP20887 CA Primary
Wound Care Registered Nurse 163WW0000X 617447 CA

Addresses

Primary practice location

355 Campus Dr
Suite a
Hanford, CA 93230-4310

Mailing address

355 Campus Dr
Suite a
Hanford, CA 93230-4310
Phone (559) 584-0668

Other practice location 1

2503 S Tommy Ct
Visalia, CA 93277-8624
Phone (559) 623-9905

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
I20120925000452 CA Practitioner - Nurse Practitioner 3375791320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
617447CAMDWound Care Registered Nurse
NP20887CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Current Accepting new patients
Urrutia Medical Associates, Inc. CurrentSince Apr 26, 2016 Accepting new patients
New Hope Wound Care Specialists Wound Care CurrentSince Aug 1, 2022 Accepting new patients

Locations

355 Campus Dr
Ste A
Hanford, CA 93230
Phone (559) 584-0668

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1376812073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304310",
            "telephone_number": "559-584-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CAMPUS DR",
            "address_2": "SUITE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304310",
            "telephone_number": "559-584-0668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2503 S Tommy Ct",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778624",
            "country_code": "US",
            "telephone_number": "559-623-9905",
            "fax_number": "559-713-6657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "CHRISTINE",
        "middle_name": "SANDOVAL",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP20887",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "617447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.