Individual provider Active NPI

Sandy Cadena, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1699167999
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A134532 Issued in CA
Practice address
1005 E Washington Blvd Ste a
Los Angeles, CA 90021-3082
Phone
(323) 233-3100
Fax
(323) 233-4100
NPI assigned
Feb 23, 2015
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A134532 CA Primary

Addresses

Primary practice location

1005 E Washington Blvd Ste a
Los Angeles, CA 90021-3082

Mailing address

2801 S San Pedro St
Los Angeles, CA 90011-2023
Phone (323) 233-3100

Other practice location 1

2801 S San Pedro St
Los Angeles, CA 90011-2023
Phone (323) 233-3100

Other names 1

  • Sandy Denisse Cadena Rendon Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109001397 CA Practitioner - Family Practice 0345525119 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134532CAMDMarriage & Family Therapist
A134532CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Community Health Center Family Medicine CurrentSince Feb 5, 2020 Accepting new patients
Manchester Memorial Hospital Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Alfa Allied Medical Group Inc Family Medicine PastSince Feb 5, 2020 Accepting new patients

Locations

2098 S Central Ave
Los Angeles, CA 90011
Phone (323) 233-3100

2801 S San Pedro St
Los Angeles, CA 90011
Phone (323) 233-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: scadenarendon976058@oc.providencedirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1699167999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112023",
            "telephone_number": "323-233-3100",
            "fax_number": "323-233-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E WASHINGTON BLVD STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900213082",
            "telephone_number": "323-233-3100",
            "fax_number": "323-233-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900112023",
            "country_code": "US",
            "telephone_number": "323-233-3100",
            "fax_number": "323-233-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADENA",
        "first_name": "SANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A134532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "CADENA RENDON",
            "middle_name": "DENISSE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.