Rosemarie Sandoval, RN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

391206 Issued in CA

Practice address

204 E Beach St
Watsonville, CA 95076-4809

Phone

(831) 728-0222

NPI assigned

Jun 17, 2009

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1730169756
  Medicare reassignment NPD
• Salud Para la Gente

  dba Seaside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Seaside, CA
  • NPI 1700142544
  NPD
• San Benito Health Foundation

  • Community/Behavioral Health Agency
  • Hollister, CA
  • NPI 1184004269
  NPD

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1457588444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950771870",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E BEACH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764809",
            "telephone_number": "831-728-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ROSEMARIE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "391206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295810174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Sandoval-Bernal
• Gabriella Sandoval
• Gerardo Sandoval
• Jessica Sandoval
• Nicolas Sandoval Jr., MA
• Eric Drake Sanford, M.D.
• Albert Espejo Sanson, PTA
• Santa Cruz Community Counseling Center
• Santa Cruz Community Counseling Center
• Santa Cruz Community Counseling Center, Inc.

• Nurse Practitioner in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.