Organization Active NPI

Sandy Foot SPC

Doing business as Sandy Foot

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1891529749
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SANDY FOOT SPC
Doing business as
Sandy Foot
Practice address
615 Prospect St
La Jolla, CA 92037-4226
Phone
(706) 459-1235
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Juliette Benitez
Title
President
Phone
(706) 459-1235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

615 Prospect St
La Jolla, CA 92037-4226

Mailing address

9525 Genesee Ave Apt 211
San Diego, CA 92121-2024
Phone (706) 459-1235

Other names 1

  • Sandy Foot Doing business as

National Provider Directory

National Provider Directory

Locations

615 Prospect St
La Jolla, CA 92037
Phone (706) 459-1235

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1891529749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 GENESEE AVE APT 211",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212024",
            "telephone_number": "706-459-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PROSPECT ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374226",
            "telephone_number": "706-459-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY FOOT SPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-459-1235"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandy Foot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.