Sandra Hlavac, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026415 Issued in CA

Practice address

31625 De Portola Rd Ste 101
Temecula, CA 92592-2770

Phone

(951) 501-4200

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as group

Quality

64.92

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Trinity Medical Multi-Specialty Group Inc.

  • Gastroenterology Physician
  • Temecula, CA
  • NPI 1598399917
  Medicare reassignment NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1679255327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31625 DE PORTOLA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922770",
            "telephone_number": "951-501-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31625 DE PORTOLA RD STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922770",
            "telephone_number": "951-501-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAVAC",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hills of Mercy Counseling
• Amber Hinojosa
• Hizon Medical Corporation
• Gerardo William Hizon, MD, FAAFP, CAQSM
• Jared P Hjelmstad, DC
• Jarren-Christopher Negranza Ho See
• Andrew Tuan Ho, M.D. FACC
• Scott L Hoage, CADC-II
• Hoang Dental Management Corp
• Michael Hodgkins, M.D.

• Family Nurse Practitioner in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.