Active NPI
Dana Sanduk
- Speech-Language Pathologist
- Camarillo, CA
National Provider Identifier
1407279862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 21213
- Practice address
- 3831 Fountain St
Camarillo, CA 93012-7723 - Phone
- (805) 402-0752
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 21213 | CA | Primary |
Addresses
Primary practice location
3831 Fountain St
Camarillo, CA 93012-7723
Mailing address
3831 Fountain St
Camarillo, CA 93012-7723
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1407279862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 FOUNTAIN ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 FOUNTAIN ST",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127723",
"telephone_number": "805-402-0752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDUK",
"first_name": "DANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "21213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.