Individual provider Active NPI

Sandra D Sundel, PH.D.

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1669773883
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4432 Issued in FL
Practice address
4911 Kalamis Way
Oceanside, CA 92056-7411
Phone
(954) 599-5098
Fax
(760) 216-6826
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW11459 CA
Clinical Social Worker 1041C0700X SW4432 FL Primary

Addresses

Primary practice location

4911 Kalamis Way
Oceanside, CA 92056-7411

Mailing address

4911 Kalamis Way
Oceanside, CA 92056-7411
Phone (954) 599-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110405000627 FL Practitioner - Clinical Social Worker 0345422291 Reassigns benefits to 1 organization
I20220425000353 CA Practitioner - Clinical Social Worker 0345422291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Health Career Solutions, Inc.Group PAC ID 9436331386, 2 clinicians

Practice addresses (Care Compare)

4911 Kalamis Way
Oceanside, CA 92056-7411
Phone (954) 599-5098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LCSW11459CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Health Career Solutions, Inc. Clinical CurrentSince Nov 11, 2010 Accepting new patients
Different Like Me Inc Clinical Past Accepting new patients

Organizations & group practices 2

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1669773883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 KALAMIS WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920567411",
            "telephone_number": "954-599-5098",
            "fax_number": "760-216-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 KALAMIS WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920567411",
            "telephone_number": "954-599-5098",
            "fax_number": "760-216-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEL",
        "first_name": "SANDRA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW11459",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.