Peggy Sandberg Professional Nursing Corporation

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA 2215 Issued in CA

Legal business name

PEGGY SANDBERG PROFESSIONAL NURSING CORPORATION

Practice address

1680 E Herndon Ave
Fresno, CA 93720-3384

Phone

(559) 432-4200

Fax

(559) 432-0147

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Peggy Ann Sandberg, CRNANPI 1821042144

Title

President/Crna

Phone

(559) 432-5007

Specialties & licenses 1

Addresses

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.

• Peggy A Sandberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
  • NPI 1821042144

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1770901365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203384",
            "telephone_number": "559-432-4200",
            "fax_number": "559-432-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY SANDBERG PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CRNA",
        "authorized_official_telephone_number": "559-432-5007",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA 2215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everardo Pedraza, M.S.
• Briana Elyse Pedro, LVN
• Fernanda Maria Pedroza
• Larry William Peer, RN
• Janet Peevyhouse
• Robin Renee Pehle, LVN
• Pei First Onset Api
• Pei First Onset Latino
• Vivian Sanchez Peichoto, AMFT
• Elizabeth Rose Pekar, PA-C

• Certified Registered Nurse Anesthetist in Fresno, CA
• Providers in Fresno, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.