SANDRA HARRIS (NPI# 1134634306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134634306 |
| Entity Type | Individual |
| Full Name | SANDRA HARRIS |
| Credential | ATC |
| Practice Address |
12361 Jerome St Garden Grove CA 92841-3616 |
| Practice Telephone | 7142512932 |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000035089 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865084 | Sandra Harris | Technician | 513 Elm St, Grantsville, WV 26147-8667 | 2020-09-10 |
| 1972977312 | Sandra Harris | Counselor | 17238 Sunderland Rd, Detroit, MI 48219-4201 | 2015-11-23 |
| 1053676064 | Sandra Ann Harris | Social Worker | 3932 S Cincinnati Ave Apt D, Tulsa, OK 74105-3058 | 2012-07-06 |
| 1932487329 | Sandra Harris | Counselor | 2228 S Fraser St, Aurora, CO 80014-4522 | 2011-08-02 |
| 1447538293 | Sandra Wrapp Harris | Speech-Language Pathologist | 3607 Sierra Dr, Stockbridge, GA 30281-5663 | 2011-07-27 |
| 1265669592 | Sandra Rodriguez Harris | Physical Therapist | 2583 View Trail Ct, Chula Vista, CA 91914-4150 | 2009-06-13 |
| 1760692412 | Sandra Lawan Harris | Contractor | 8254 118th Ave N, Suite 100, Largo, FL 33773 | 2007-05-23 |
| 1225186364 | Sandra Lynn Harris | Social Worker | 4477 Deerfield Dr, Orangeburg, SC 29118-8300 | 2007-01-08 |
| 1982751830 | Sandra Marie Harris | Nurse Practitioner | 9 Elm Street, Peru, NY 12972 | 2007-01-04 |
| 1902978034 | Sandra Rae Harris | Legal Medicine | 24223 9th Ave S, Des Moines, WA 98198-3881 | 2006-11-14 |
| Street Address |
12361 JEROME ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282709 | Hisano Tasedan | Specialist/Technologist | 12560 Haster St Spc 48, Garden Grove, CA 92840-6027 | 2020-07-15 |
| 1548769433 | Alexander Dassoff | Specialist/Technologist | 12851 Haster St Apt 15g, Garden Grove, CA 92840-6561 | 2018-02-06 |
| 1174030290 | Melissa Ann Finkenhagen | Specialist/Technologist | 11351 Dale St, Garden Grove, CA 92841-1545 | 2018-01-10 |
| 1831565894 | Melanie Silver | Specialist/Technologist | 9401 Westminster Ave, Garden Grove, CA 92844-2901 | 2015-08-13 |
| 1629289202 | Krista Janelle Schweers | Specialist/Technologist | 6851 Lampson Ave, Garden Grove, CA 92845-2211 | 2007-05-24 |
| 1700420791 | Allison Ngoc Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-11-01 |
| 1396399887 | Michelle Quach | Specialist/Technologist | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-08-01 |
| 1114571601 | Mai Xuan Vo | Specialist/Technologist | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-08-01 |
| 1841844974 | Ngan Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-26 |
| 1114589314 | John Nguyen | Specialist/Technologist | 9862 Chapman Ave, Garden Grove, CA 92841-2726 | 2019-07-08 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
Please comment or provide details below to improve the information on SANDRA HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.