Individual provider Active NPI

Sofia Sabrina Sanchez, MD

  • Family Medicine Physician
  • Camp Lejeune, NC
National Provider Identifier
1619558343
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101275928 Issued in VA
Practice address
Naval Medical Center Camp Lejeune
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(910) 449-2646
Fax
(910) 450-3238
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101275928 VA Primary

Addresses

Primary practice location

Naval Medical Center Camp Lejeune
100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

Naval Hospital Okinawa
Futenma, Ginowan, OKINAWA 9012202
JP

Other practice location 1

200 Mercy Cir
Oceanside, CA 92058
Phone (760) 725-4357

Other practice location 2

Naval Hospital Okinawa
Futenma, Ginowan, Okinawa 9012202
JP
Phone (315) 646-7043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20230120001605 VA Order and Referring Only - Family PracticePractitioner - Family Practice 9931570470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101275928VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NH Camp Pendleton PastSince Apr 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1619558343",
    "addresses": [
        {
            "country_code": "JP",
            "country_name": "Japan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "NAVAL HOSPITAL OKINAWA",
            "city": "FUTENMA, GINOWAN",
            "state": "OKINAWA",
            "postal_code": "9012202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER CAMP LEJEUNE",
            "address_2": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-449-2646",
            "fax_number": "910-450-3238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mercy Cir",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92058",
            "country_code": "US",
            "telephone_number": "760-725-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Naval Hospital Okinawa",
            "address_purpose": "LOCATION",
            "city": "Futenma, Ginowan",
            "state": "Okinawa",
            "postal_code": "9012202",
            "country_code": "JP",
            "telephone_number": "315-646-7043",
            "country_name": "Japan",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SOFIA",
        "middle_name": "SABRINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101275928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.