Active NPI
Sandra Huantes Mollinedo, PHARMD
- Pharmacist
- Norwalk, CA
National Provider Identifier
1437741840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75506
- Practice address
- 13931 San Antonio Dr
Norwalk, CA 90650-4036 - Phone
- (562) 807-0001
- NPI assigned
- Feb 7, 2021
- Last updated
- Dec 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75506 | CA | Primary |
Addresses
Primary practice location
13931 San Antonio Dr
Norwalk, CA 90650-4036
Mailing address
13931 San Antonio Dr
Norwalk, CA 90650-4036
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75506 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JKL Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1437741840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13931 SAN ANTONIO DR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13931 SAN ANTONIO DR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504036",
"telephone_number": "562-807-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLINEDO",
"first_name": "SANDRA",
"middle_name": "HUANTES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.