Individual provider Active NPI

Veronica D Sandoval, NP

  • Nurse Practitioner
  • Los Gatos, CA
National Provider Identifier
1952885675
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95008382 Issued in CA
Practice address
14777 Los Gatos Blvd Ste 105
Los Gatos, CA 95032-2059
Phone
(408) 340-5120
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95008382 CA Primary

Addresses

Primary practice location

14777 Los Gatos Blvd Ste 105
Los Gatos, CA 95032-2059

Mailing address

2120 Coolidge Dr
Santa Clara, CA 95051-1811
Phone (408) 666-9959

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001921 CA Practitioner - Nurse Practitioner 7416481916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008382CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: veronica.sandoval@13475020865540.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1952885675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 COOLIDGE DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950511811",
            "telephone_number": "408-666-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14777 LOS GATOS BLVD STE 105",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322059",
            "telephone_number": "408-340-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "VERONICA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.