Individual provider Active NPI

Sandra Gildersleeve, MD

  • Pediatrics Physician
  • South Pasadena, CA
National Provider Identifier
1881091551
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A129639 Issued in CA
Practice address
1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994
Phone
(626) 514-0315
NPI assigned
Nov 24, 2014
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A129639 CA Primary

Addresses

Primary practice location

1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994

Mailing address

1941 Huntington Dr Ste C
South Pasadena, CA 91030-4994
Phone (626) 344-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002844 CA Practitioner - Pediatric Medicine 5395041446 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
129639CAMDClinical Social Worker
A129639CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Pediatrics CurrentSince Aug 16, 2017 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Feb 3, 2016 Accepting new patients
South Pasadena Pediatrics, a Professional Corporation Pediatrics CurrentSince Mar 1, 2025 Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Glendale Pediatrics, a Professional Corporation Pediatrics PastSince Oct 1, 2023 Accepting new patients
Beverly Hills Pediatrics Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

1941 Huntington Dr
Ste C
South Pasadena, CA 91030
Phone (626) 514-0315

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1881091551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR STE C",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304994",
            "telephone_number": "626-344-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR STE C",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304994",
            "telephone_number": "626-514-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDERSLEEVE",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A129639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.