Sandra M McColl, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A52545 Issued in CA

Practice address

651 Wake Ave
Suite a
El Centro, CA 92243-9490

Phone

(760) 352-2251

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sandra Maria , Sanches McColl Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1538224274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ALAMEDA DRIVE",
            "city": "SANDIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-269-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WAKE AVE",
            "address_2": "SUITE A",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922439490",
            "telephone_number": "760-352-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLL",
        "first_name": "SANDRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A52545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MCCOLL",
            "middle_name": "MARIA , SANCHES",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marsella Mayoral, LIFESTYLE COACH
• Astryd Mazcareno, LVN
• Georgina A. McAuley, VN
• McCabe Union Elementary School District
• Helen Nicole McClain
• Allison Marie McCullough
• Patricia McDonald
• Paul McDonald
• Bunie Lee McKinney, CERTIFIED PHARMACY T
• Terri Ann McMains, PT,DPT

• Pediatric Adolescent Medicine Physician in El Centro, CA
• Providers in El Centro, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.