Mallory Sandridge, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024173408 Issued in VA

Practice address

5 Harris Court, Building T
Suite 201
Monterey, CA 93940-5750

Phone

(831) 375-4105

Fax

(831) 372-5722

NPI assigned

Mar 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

86.47 of 100Reported as group

Quality

77.19

Improvement activities

40

Cost

63.38

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monterey Bay Oncology a Medical Corporation

  • Hematology & Oncology Physician
  • Monterey, CA
  • NPI 1972542959
  Medicare reassignment NPD
• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  VA

  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  Nurse Practitioner, VA

  Medicare reassignment NPD
• Villagehealth DM LLC

  • Case Management Agency
  • Denver, CO
  • NPI 1598273211

  VA

  Medicare reassignment NPD
• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245
  Medicare reassignment NPD
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD
• Lancelot O Alexander MD a Medical Corporation

  • Specialist
  • Salinas, CA
  • NPI 1134279532
  NPD (past)
• Monterey Bay Oncology

  • Medical Oncology Physician
  • Monterey, CA
  • NPI 1205007408
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1861854572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS COURT, BUILDING T",
            "address_2": "SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS COURT, BUILDING T",
            "address_2": "SUITE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIDGE",
        "first_name": "MALLORY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173408",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010564",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Sanchez, NP
• Leonard Rene Sanders, M.D.
• Natalie Catherine Sanders, OTR/L
• Taylor R Sanders, OTRL
• Ashley Sandridge, NP-C
• Maheep Singh Sangha
• Samrat Sanghvi, M.D.
• Jessica Santana
• Claudia Rae Santora, M.A.
• Kristen Adeane Santos

• Family Nurse Practitioner in Monterey, CA
• Providers in Monterey, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.