Sandra Kay Callaghan, FNP
Individual provider Active NPI Family Nurse Practitioner · Lancaster, CA
NPI 1780970517 · NPPES record last updated Mar 26, 2015
Key facts
- NPI
- 1780970517
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20677 (CA)
- Practice address
- 42135 10TH St W
Suite 301
Lancaster, CA 93534-7095 - Phone
- (661) 945-6931
- Fax
- (661) 375-5980
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20677 | CA | Yes |
Addresses
Primary practice location
42135 10TH St W
Suite 301
Lancaster, CA 93534-7095
Mailing address
3053 Rancho Vista Blvd
Suite H #260
Palmdale, CA 93551-4823
Phone (661) 265-9636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114912979 | Medicaid | CA |
Other providers in Lancaster, CA
- California Integrated Therapy Associates Inc
- California Rehab and Sports Therapy
- California Sports Physical Therapy Centers, Inc.
- California State University Northridge
- California Subacute Care LLC
- Colin Dean Calloway
- Calston Manor
- Aaron Jonathan Camacho
- Adriana Elizabeth Camacho
- Dailen Camacho
All providers in Lancaster, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.