Kimberly M. Sandberg, RN, Crna, a Professional Corporation

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION

Practice address

4510 Executive Dr Ste 108
San Diego, CA 92121-3022

Phone

(619) 333-3515

Fax

(833) 974-2067

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Kim Sandberg, CRNA

Title

Owner

Phone

(619) 944-2760

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Malia Sandberg, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
  • NPI 1922075258
  NPD

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1902451263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 ASPEN GLEN CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919142523",
            "telephone_number": "619-944-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213022",
            "telephone_number": "619-333-3515",
            "fax_number": "833-974-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "SANDBERG",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-944-2760",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth Kimber
• Maxwell Lambert Kimberley-Bryant, PA-C
• Kimberly Corbett, Psy.D., a Psychological Corp.
• Kimberly Hoover L.Ac.
• Kimberly Israel, a Licensed Clinical Social Worker Professional Corporation
• Kimberly Whiteford
• Elizabeth Kimble
• Jennifer Susanne Kimble, MD
• Jullieta Nakita Kimble I, B.A OF PSYCHOLOGY
• Leigh Kimble, CFY-SLP

• Behavioral Neurology & Neuropsychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.