Individual provider Active NPI

Seipati Sasha Makhobeng

  • Registered Nurse
  • Rancho Cordova, CA
National Provider Identifier
1649869066
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
484951 Issued in OH
Practice address
11891 Autumn Sunset Way
Rancho Cordova, CA 95742-8009
Phone
(323) 627-7814
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 484951 OH Primary

Addresses

Primary practice location

11891 Autumn Sunset Way
Rancho Cordova, CA 95742-8009

Mailing address

11891 Autumn Sunset Way
Rancho Cordova, CA 95742-8009
Phone (323) 627-7814

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
484951OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1649869066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11891 AUTUMN SUNSET WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428009",
            "telephone_number": "323-627-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11891 AUTUMN SUNSET WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428009",
            "telephone_number": "323-627-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKHOBENG",
        "first_name": "SEIPATI",
        "middle_name": "SASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "484951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.