Individual provider Active NPI

Paula Czarina Camana Sandoval, FNP-BC

  • Medical-Surgical Registered Nurse
  • Palmdale, CA
National Provider Identifier
1447060041
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
730377 Issued in CA
Practice address
2270 E Palmdale Blvd Ste F
Palmdale, CA 93550-1334
Phone
(661) 855-4044
NPI assigned
Jan 7, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 730377 CA Primary

Addresses

Primary practice location

2270 E Palmdale Blvd Ste F
Palmdale, CA 93550-1334

Mailing address

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672
Phone (818) 900-2478

Other practice location 1

17964 Tulsa St
Granada Hills, CA 91344-4426
Phone (818) 461-4540

Other practice location 2

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672
Phone (818) 900-2478

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
I20260414001766 CA Practitioner - Nurse Practitioner 3577039981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17559 Chatsworth St
Granada Hills, CA 91344-5720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
730377CAMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Urgent Care, Inc CurrentSince Jan 19, 2025 Accepting new patients

Locations

21300 Sherman Way
Ste 3
Canoga Park, CA 91303
Phone (818) 835-9039

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, 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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1447060041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 SHERMAN WAY STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033672",
            "telephone_number": "818-900-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 E PALMDALE BLVD STE F",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501334",
            "telephone_number": "661-855-4044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17964 Tulsa St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913444426",
            "country_code": "US",
            "telephone_number": "818-461-4540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21300 Sherman Way Ste 3",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "913033672",
            "country_code": "US",
            "telephone_number": "818-900-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "PAULA CZARINA",
        "middle_name": "CAMANA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "730377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.