Kia Sanford, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A20601 Issued in CA

Practice address

1031 Waterloo Rd
Stockton, CA 95205-4256

Phone

(209) 940-5600

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksanford768631@direct.ochin.org
• Direct secure messaging: kia.sanford.p1@direct.cmcentersinc.nextgenshare.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.

• Community Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Esparto, CA
  • NPI 1588729180
  Medicare reassignment NPD
• Community Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Stockton, CA
  • NPI 1356723936
  NPD
• Community Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Lodi, CA
  • NPI 1891529061
  NPD

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1942682398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054256",
            "telephone_number": "209-940-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054256",
            "telephone_number": "209-940-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Beach 81st St",
            "address_2": "Apt 1E",
            "address_purpose": "LOCATION",
            "city": "Rockaway Beach",
            "state": "NY",
            "postal_code": "116931902",
            "country_code": "US",
            "telephone_number": "707-364-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1295 W Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011107",
            "country_code": "US",
            "telephone_number": "707-210-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "KIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A20601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalva Sandoval
• Vanessa M Sandoval
• Areya Sands
• Kiah Sands
• Denise Sanford, RAS,SAC,II
• Elizabeth Sangalang Foster, DO
• Samuel Gilbert Sangary
• Amandeep K Sangha, DDS
• Rajbeer Sangha, MD
• Manbir Sanghera

• Pediatrics Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.