Sandra Madrid M D Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G41890 Issued in CA

Legal business name

SANDRA MADRID M D INC

Practice address

12462 Washington Blvd
Whittier, CA 90602-1005

Phone

(562) 693-0725

Fax

(562) 693-2468

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Madrid, M.D.NPI 1427016765

Title

President/Owner

Phone

(562) 693-0725

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Garcia Madrid, MD

  • General Practice Physician
  • Whittier, CA
  • NPI 1427016765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1770594640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0725",
            "fax_number": "562-693-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-693-0725",
            "fax_number": "562-693-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MADRID M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "562-693-0725",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G41890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G418900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Sandoval
• Fatima Sandoval
• Oscar Moreno Sandoval, LCSW
• Tonia Sandoval, RN
• Yolanda Sandoval
• Dyanelle Sanford, CCC-SLP
• Divya Ghiya Sanghvi, F.N.P.
• Santa Fe Springs Dialysis LLC (Sta Fe Springs Dialysis)
• Santa Fe Springs Female Medical Clinic
• Santa Maria's Children and Family Center

• General Practice Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.