Roselyn Catherine Sandoval, N.P.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

328029 Issued in CA

Practice address

136 N San Mateo Dr
Suite 101
San Mateo, CA 94401-2777

Phone

(650) 344-1114

Fax

(650) 344-2274

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1811251242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR",
            "address_2": "SUITE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012777",
            "telephone_number": "650-344-1114",
            "fax_number": "650-344-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR",
            "address_2": "SUITE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012777",
            "telephone_number": "650-344-1114",
            "fax_number": "650-344-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ROSELYN",
        "middle_name": "CATHERINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "328029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilin Tatiana Sandoval-Mejia
• Antoinette Sandoval, LCSW
• Britney Lynn Sandoval
• Maryoum P Sandoval
• Olivia Guadalupe Sandoval
• Soledad Sandoval
• Sandra Beretta, M D, Inc
• Zachary Sandy, L.AC
• Alpa Sanghavi, M.D.
• Czarina Rocha Sangil

• Obstetrics & Gynecology Nurse Practitioner in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.