Organization Active NPI

Sandra Nieto, MD, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Montebello, CA
National Provider Identifier
1619469293
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SANDRA NIETO, MD, A MEDICAL CORPORATION
Practice address
433 N 4TH St Ste 211
Montebello, CA 90640-4309
Phone
(323) 786-8833
Fax
(323) 967-6067
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Sandra Nieto, MDNPI 1003830258
Title
President
Phone
(323) 786-8833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

433 N 4TH St Ste 211
Montebello, CA 90640-4309

Mailing address

PO Box 2559
Montebello, CA 90640-7359
Phone (323) 786-8833

Other identifiers 1

IdentifierTypeStateIssuer
1003830258MedicaidCA

National Provider Directory

National Provider Directory

Locations

433 N 4th St
Ste 211
Montebello, CA 90640
Phone (323) 786-8333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1619469293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2559",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906407359",
            "telephone_number": "323-786-8833",
            "fax_number": "323-967-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 211",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-786-8833",
            "fax_number": "323-967-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA NIETO, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-786-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003830258",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.