Sandra Vandoren Pertz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A129906 Issued in CA

Practice address

2071 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Phone

(949) 759-1720

Fax

(949) 759-1442

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Vandoren Parran Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1871882704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2434",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "949-759-1720",
            "fax_number": "949-759-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTZ",
        "first_name": "SANDRA",
        "middle_name": "VANDOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A129906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "PARRAN",
            "middle_name": "VANDOREN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Marsh Perry, MD
• James Clifford Perry II
• Kayla Perry
• Colleen Perry(Young), M.S
• Personal Healthcare
• Peter C Wang MD Inc
• Peter H Broekelschen MD Inc
• Peter Helton Professional Corporation
• Ross M Peters, D.D.S.
• Andrea Rae Petersen, MPH, PA-C

• Pediatrics Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.