Sandra Joy Vanderwoude

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

500 N 9TH St
Modesto, CA 95350-5814

Phone

(209) 525-7412

Fax

(209) 558-4371

NPI assigned

Dec 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1720593171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 HAVENWOOD WAY",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079390",
            "telephone_number": "209-204-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 9TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505814",
            "telephone_number": "209-525-7412",
            "fax_number": "209-558-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERWOUDE",
        "first_name": "SANDRA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Vande Pol
• Lorese Gerlone Gomes Vandemark, DDS
• Travis Vander Molen
• Chelsea Vander Veen
• Aundria M Vanderveur
• Emilee Vandyke
• Alyssa Lee Vang
• Anastasia Vang
• Chor Vang, MD
• Dao Vang

• Adult Companion in Modesto, CA
• Providers in Modesto, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.