Individual provider Active NPI

Sandee C San Mateo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1609543909
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95018142 Issued in CA
Practice address
894 Camino Cantera
Chula Vista, CA 91913-3332
Phone
(619) 306-3920
NPI assigned
Aug 24, 2021
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95018142 CA Primary

Addresses

Primary practice location

894 Camino Cantera
Chula Vista, CA 91913-3332

Mailing address

1741 Eastlake Parkway,
Suite 102 PMB 490
Chula Vista, CA 91915
Phone (619) 306-3920

Other practice location 1

374 H St Ste 201
Chula Vista, CA 91910-5547
Phone (619) 510-8480

Other practice location 2

5565 Grossmont Center Dr Ste 229
LA Mesa, CA 91942-3026
Phone (858) 342-4572

Other practice location 3

8770 Cuyamaca St Ste 4
Santee, CA 92071-4289
Phone (619) 596-9890

Other practice location 4

5358 Jackson Dr Ste 1
LA Mesa, CA 91942-3040
Phone (858) 616-7039

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scsanmateo.neuromatters@gmail.com Direct

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
I20221202000647 CA Practitioner - Nurse Practitioner 4385012970 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

914 E 8TH St
Suite 210
National City, CA 91950-2565
Phone (619) 306-3920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Datnguyen MD Inc CurrentSince Jan 14, 2023 Accepting new patients
Dymphna San Diego TMS Inc CurrentSince Oct 1, 2022 Accepting new patients
Neuromatters and Wellness a Professional Nursing Practice Corporation CurrentSince Nov 1, 2023 Accepting new patients
Genesis Medical Health a Professional Corporation CurrentSince May 14, 2024 Accepting new patients
Holistic Alliance Nursing Pcorp PastSince Jun 1, 2025 Accepting new patients
Yashwant Chaudhri MD a Prof Corp PastSince May 1, 2004 Accepting new patients

Locations

374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 510-8480

1155 E Grand Ave
Ste 10
Escondido, CA 92025
Phone (760) 644-4027

5358 Jackson Dr
Ste 1
La Mesa, CA 91942
Phone (619) 667-7072

5565 Grossmont Center Dr
Ste 229
La Mesa, CA 91942
Phone (619) 280-3500

914 E 8th St
Ste 210
National City, CA 91950
Phone (619) 306-3920

Organizations & group practices 6

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1609543909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PARKWAY,",
            "address_2": "SUITE 102 PMB 490",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "619-306-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 CAMINO CANTERA",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133332",
            "telephone_number": "619-306-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 H St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105547",
            "country_code": "US",
            "telephone_number": "619-510-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 229",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423026",
            "country_code": "US",
            "telephone_number": "858-342-4572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8770 Cuyamaca St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920714289",
            "country_code": "US",
            "telephone_number": "619-596-9890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5358 Jackson Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423040",
            "country_code": "US",
            "telephone_number": "858-616-7039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN MATEO",
        "first_name": "SANDEE",
        "middle_name": "C",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scsanmateo.neuromatters@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "894 Camino Cantera",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919133332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.