Individual provider Active NPI

Maria Perla Legaspi Buenaflor-Sales, AGPCNP

  • Primary Care Nurse Practitioner
  • Brentwood, CA
National Provider Identifier
1629648746
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NP95017186 Issued in CA
Practice address
50 Sand Creek Rd Ste 236
Brentwood, CA 94513-7302
Phone
(925) 550-1494
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NP95017186 CA Primary

Addresses

Primary practice location

50 Sand Creek Rd Ste 236
Brentwood, CA 94513-7302

Mailing address

50 Sand Creek Rd Ste 236
Brentwood, CA 94513-7302
Phone (925) 550-1494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP95017186CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1629648746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAND CREEK RD STE 236",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137302",
            "telephone_number": "925-550-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SAND CREEK RD STE 236",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137302",
            "telephone_number": "925-550-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENAFLOR-SALES",
        "first_name": "MARIA PERLA",
        "middle_name": "LEGASPI",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95017186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.