Kimberly Malia Sandberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2565 Issued in CA

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(619) 532-8950

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21563/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.sandberg.1@21563.direct.athenahealth.com

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.

• Ipcs Anesthesia, PC

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1922477900
  Medicare reassignment NPD
• La Jolla Endoscopy Center LP

  • Ambulatory Surgical Clinic/Center
  • La Jolla, CA
  • NPI 1407829773
  Medicare reassignment NPD
• Temecula Ca Endoscopy ASC LP

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1285863696
  Medicare reassignment NPD
• Temecula Ca United Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
  • NPI 1275951196
  Medicare reassignment NPD
• United Medical Doctors

  • Gastroenterology Physician
  • Murrieta, CA
  • NPI 1770559981

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Aloha Integrative Health

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1669016028
  NPD Authorized official
• Kimberly M. Sandberg, RN, Crna, a Professional Corporation

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Diego, CA
  • NPI 1902451263
  NPD
• La Jolla Endoscopy Center LP

  • Anesthesiology Physician
  • La Jolla, CA
  • NPI 1376863951
  NPD
• Temecula Ca Endoscopy ASC LP

  • Ambulatory Surgical Clinic/Center
  • Murrieta, CA
  • NPI 1477527398
  NPD
• Temecula Ca United Surgery Center LP

  • Anesthesiology Physician
  • Temecula, CA
  • NPI 1013376482
  NPD
• United Medical Doctors

  • Orthopaedic Surgery Physician
  • San Diego, CA
  • NPI 1194554675
  NPD
• Anesthesia Associates of Kent County, LLC

  • Anesthesiology Physician
  • Warwick, RI
  • NPI 1043237621

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1922075258",
    "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": "619-994-2760",
            "fax_number": "619-946-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "KIMBERLY",
        "middle_name": "MALIA",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanctuary of Art and Healing
• Sanctum Medical Equipment LLC
• Sarah L Sandauer
• Dawn Denise Sandberg, D.C.
• Hillary Sandberg
• William J Sandborn, M.D.
• John C Sandbower, OD
• Hannah Sandefur
• Dianne H. Sandel, FNP
• Piper Macleod Sandel, MD

• Certified Registered Nurse Anesthetist in San Diego, CA
• Providers in San Diego, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.