Arelis Manjarrez Sandoval, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

673733 Issued in CA

Practice address

1100 San Leandro Blvd
San Leandro, CA 94577-1595

Phone

(510) 481-4267

Fax

(510) 267-3212

NPI assigned

Jun 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Arelis Manjarrez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1437446390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771595",
            "telephone_number": "510-481-4267",
            "fax_number": "510-618-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771595",
            "telephone_number": "510-481-4267",
            "fax_number": "510-267-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ARELIS",
        "middle_name": "MANJARREZ",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026543",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "673733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARELIS",
            "last_name": "MANJARREZ",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen Sanders Jr.
• Victoria Montgomery Sanders
• Sandi D. Jones, D.C.
• Benjamin Isaac Sandler, PSY.D.
• Jaime Sandoval-Gonzalez
• Rebecca Del. Carmen Sandoval
• Dani W Sands, CPSS
• Alfred Mitchell Sanedrin
• Serom Sanftner, LCSW
• Ashvin Madhu Sangoram, M.D. PHD

• Community Health Registered Nurse in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.