Active NPI
Kandyce Santos
- Rehabilitation Practitioner
- Sacramento, CA
National Provider Identifier
1851893747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3815 Marconi Ave
Sacramento, CA 95821-3867 - Phone
- (559) 558-4051
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Behavior Technician | 106S00000X | 1847459 | CA |
Addresses
Primary practice location
3815 Marconi Ave
Sacramento, CA 95821-3867
Mailing address
390 40TH St
Sacramento, CA 95819-2028
Phone (510) 613-0330
Other practice location 1
390 40th St
Sacramento, CA 95819-2028
Phone (510) 613-0330
Other practice location 2
2750 Sutterville Rd
Sacramento, CA 95820-1024
Phone (916) 452-3981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1847459 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1851893747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 40TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958192028",
"telephone_number": "510-613-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 MARCONI AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213867",
"telephone_number": "559-558-4051"
}
],
"practiceLocations": [
{
"address_1": "390 40th St",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958192028",
"country_code": "US",
"telephone_number": "510-613-0330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 Sutterville Rd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201024",
"country_code": "US",
"telephone_number": "916-452-3981",
"fax_number": "916-489-1376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "KANDYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "1847459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.