MRS. TANISHA KAUR SANDHU (NPI# 1174904080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174904080 |
| Entity Type | Individual |
| Full Name | MRS. TANISHA KAUR SANDHU |
| Credential | FNP |
| Practice Address |
100 Hospital Dr Ste 200 Vallejo CA 94589-2582 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 7074274900 |
| Mailing Telephone | 8557710335 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
23113 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
NP23113 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 HOSPITAL DR STE 200 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205891314 | Shelley L Wong | Nurse Practitioner | 100 Hospital Dr Ste 200, Vallejo, CA 94589 | 2006-04-20 |
| 1093177271 | Harmeet Singh Malhi | Family Medicine | 100 Hospital Dr Ste 200, Vallejo, CA 94589-2582 | 2016-03-25 |
| 1821475013 | Valerie Liu | Family Medicine | 100 Hospital Dr Ste 200, Vallejo, CA 94589 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707114 | Jacob Berumen | Nurse Practitioner | 1134 Lemoyne St, Los Angeles, CA 90026-3207 | 2020-10-11 |
| 1053702159 | Ivory Adanza | Nurse Practitioner | 1801 E March Ln Ste D480, Stockton, CA 95210-6681 | 2015-02-10 |
| 1427448414 | Nancy Seiler | Nurse Practitioner | 1305 Peach St Suite 301, San Luis Obispo, CA 93401-2700 | 2015-01-28 |
| 1619315165 | Christine Hovorka Weimer | Nurse Practitioner | 1515 Walnut Grove Ave, 1st Floor, Rosemead, CA 91770-3710 | 2013-06-06 |
| 1497098529 | Erin Lum | Nurse Practitioner | 77 Beale St Fl 3, Pg&e Health Center, San Francisco, CA 94105-1814 | 2013-03-27 |
| 1194019448 | Susan S Harada | Nurse Practitioner | 405 Bedford Pl, Thousand Oaks, CA 91360-5329 | 2011-06-03 |
| 1104151182 | Mary Elizabeth Murali | Nurse Practitioner | 1159 Mataro Ct, Pleasanton, CA 94566-6981 | 2009-10-08 |
| 1790946085 | Sherrill Diane Petherbridge | Nurse Practitioner | 736 W Jasmine Cir, Santa Rosa, CA 95407-6778 | 2008-06-19 |
| 1750550349 | Tammy Ann Watts | Nurse Practitioner | 5858 Stoneridge Mall Rd, Safeway Health Center, Pleasanton, CA 94588-3231 | 2008-02-27 |
| 1710182589 | Evangelina Ramirez | Nurse Practitioner | 200 Ucla Medical Plz Ste 224, Los Angeles, CA 90095-6926 | 2007-06-20 |
| Find all providers with the same taxonomy | ||||
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| 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.