Active NPI
Sandra Kamba
- Primary Care Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1962134692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95021536
- Practice address
- 965 El Camino Ave
Sacramento, CA 95815-2530 - Phone
- (916) 642-1867
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 95065306 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | NP95021536 | CA | Primary |
Addresses
Primary practice location
965 El Camino Ave
Sacramento, CA 95815-2530
Mailing address
7708 E Port Dr
Sacramento, CA 95831-5613
Phone (323) 620-6484
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95021536 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
3160 Folsom Blvd
Ste 1400
Sacramento, CA 95816
Phone (916) 731-1831
4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1366513061
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1508123662
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962134692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7708 E PORT DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958315613",
"telephone_number": "323-620-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 EL CAMINO AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958152530",
"telephone_number": "916-642-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMBA",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "95065306",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95021536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.