Active NPI
Darwin Sacdalan
- Clinical Nurse Specialist
- Elk Grove, CA
National Provider Identifier
1659721249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 727610
- Practice address
- 7137 Lyndale Cir
Elk Grove, CA 95758-6357 - Phone
- (909) 565-3672
- NPI assigned
- Jun 15, 2016
- Last updated
- Jun 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 727610 | CA | Primary |
Addresses
Primary practice location
7137 Lyndale Cir
Elk Grove, CA 95758-6357
Mailing address
7137 Lyndale Cir
Elk Grove, CA 95758-6357
Phone (909) 565-3672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13994192 | Other | CA | KAISER PERMANENTE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 727610 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1659721249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7137 LYNDALE CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586357",
"telephone_number": "909-565-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7137 LYNDALE CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586357",
"telephone_number": "909-565-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACDALAN",
"first_name": "DARWIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "727610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "13994192",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.