NPIMap

Individual provider Active NPI

Sandra Catherine Wilson, MD

  • Internal Medicine Physician
  • Solvang, CA
National Provider Identifier
1457440638
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G80126 Issued in CA
Practice address
2030 Viborg Rd Ste 110
Solvang, CA 93463-3225
Phone
(805) 691-9712
Fax
(805) 693-2298
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G80126 CA Primary

Addresses

Primary practice location

2030 Viborg Rd Ste 110
Solvang, CA 93463-3225

Mailing address

Post Office Box 509
Los Olivos, CA 93441
Phone (805) 245-9010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000416 CA Practitioner - Internal Medicine 4587739677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2028 Village LN
Suite 203
Solvang, CA 93463-3223
Phone (805) 691-3712

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80126CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jul 29, 2017 Accepting new patients
Sandra Wilson MD Inc Internal Medicine CurrentSince Mar 26, 2017 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic CurrentSince Jul 29, 2017 Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Sandra Ce Wilson MD Inc Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Santa Ynez Valley Cottage Hospital, Inc Past Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Locations

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

2030 Viborg Rd
Ste 110
Solvang, CA 93463
Phone (805) 691-9712

2030 Viborg Rd
Ste 102
Solvang, CA 93463
Phone (805) 245-9010

2028 Village Ln
Ste 203
Solvang, CA 93463
Phone (805) 688-9674

Interoperability endpoints

  • Direct secure messaging: sandra.wilson@585952779698180.direct.elationemr.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1457440638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 509",
            "city": "LOS OLIVOS",
            "state": "CA",
            "postal_code": "93441",
            "telephone_number": "805-245-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 VIBORG RD STE 110",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633225",
            "telephone_number": "805-691-9712",
            "fax_number": "805-693-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SANDRA",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.