Active NPI
Sandra Gay Bock, PA-C, M.ED.
- Physician Assistant
- West Roxbury, MA
National Provider Identifier
1972563922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- Vabos 1400 VFW Pkwy
Occ Health RM Ga153
West Roxbury, MA 02132 - Phone
- (617) 323-7700
- Fax
- (857) 203-5583
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
Vabos 1400 VFW Pkwy
Occ Health RM Ga153
West Roxbury, MA 02132
Mailing address
30 Beechnut Rd
Westwood, MA 02090-3302
Phone (781) 769-0215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14 | Other | MA | MA PA LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972563922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BEECHNUT RD",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020903302",
"telephone_number": "781-769-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VABOS 1400 VFW PKWY",
"address_2": "OCC HEALTH RM GA153",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "02132",
"telephone_number": "617-323-7700",
"fax_number": "857-203-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCK",
"first_name": "SANDRA",
"middle_name": "GAY",
"credential": "PA-C, M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA PA LIC",
"identifier": "14",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.