SANDSTON PRIMARY CARE INC.
NPI 1265534382
Preferred Provider Organization in Sandston, VA

Active since September 01, 2006CLIA 49D0917153 · Waiver
35 E WILLIAMSBURG RD, SANDSTON, VA 23150(804) 737-7804(804) 737-8973 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandston Primary Care Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDSTON PRIMARY CARE INC. (NPI 1265534382) is a healthcare organization registered as a preferred provider organization in Sandston, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 9, 2028, maintains a secondary practice location in Highland Springs, and lists Shuja U Khan, Owner President, as its authorized official.

NPPES Registry Identity

NPI1265534382
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameSANDSTON PRIMARY CARE INC.
Location Address35 E WILLIAMSBURG RDSandston, VA 23150-2011
Mailing Address35 E Williamsburg RdSandston, VA 23150-2011 · (804) 737-7804 · Fax (804) 737-8973
Fax(804) 737-8973
Organization SubpartNo
Authorized OfficialShuja U KhanOwner President · (804) 737-7804
Enumeration DateSeptember 1, 2006
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
NPI 1265534382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in VA · 0101053528
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
35 E WILLIAMSBURG RD, Sandston, VA 23150

Secondary Practice Location 1

Location 15 W Nine Mile RoadHighland Springs, VA 23075 · Phone (804) 737-7804 · Fax (804) 737-8973

Other Identifiers 3

Other454249VA · Anthem Bcbs
Other705067VA · Aetna
Medicaid005877814VA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0917153

Sandston Primary Care · Sandston, VA
Active · expires Jul 9, 2028
CLIA Number49D0917153
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorKasey Burch
Laboratory Phone(804) 737-7804
Laboratory LocationSandston Primary Care35 East Williamsburg Road, Sandston, VA 23150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
35 E WILLIAMSBURG RD
SANDSTON, VA 23150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandston Primary Care Inc.'s NPI number?

The NPI number for Sandston Primary Care Inc. is 1265534382. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Sandston Primary Care Inc. located?

Sandston Primary Care Inc. is located at 35 E Williamsburg Rd, Sandston, VA 23150. The listed phone number is (804) 737-7804.

What is Sandston Primary Care Inc.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Sandston Primary Care Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0917153) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sandston Primary Care Inc. was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.