MS. SANDRA IMADE ODIASE FNP
NPI 1366615791
Nurse Practitioner in Sacramento, CA

Q: What is Sandra Odiase's NPI number?

The NPI number for Sandra Odiase is 1366615791. It was assigned to this individual provider in the NPPES registry on April 7, 2008. The provider is also known as Sandra Imade Odiase.

Q: What is Sandra Odiase's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Odiase was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 07, 2008

3946 NORWOOD AVE, SACRAMENTO, CA 95838(916) 564-0521(877) 860-2907 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Sandra Imade Odiase Fnp NPPES

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

MS. SANDRA IMADE ODIASE FNP (NPI 1366615791) is an individual nurse practitioner in Sacramento, California, licensed in California (17711) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1366615791

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SANDRA IMADE ODIASECredential: FNP

Location Address3946 NORWOOD AVESacramento, CA 95838-3300

Mailing Address200 Oceangate, Suite 100Long Beach, CA 90802-4317 · (562) 499-6191 · Fax (877) 860-5422

Phone(916) 564-0521

Fax(877) 860-2907

Sole ProprietorNo

Enumeration DateApril 7, 2008

Last NPPES UpdateAugust 10, 2015

✔ NPI 1366615791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 17711

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 17711 (CA)

3946 NORWOOD AVE, Sacramento, CA 95838

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Other Names 1

Other Name (5)Sandra Imade Odiase

Other Identifiers 5

OtherP01421065 - DS9933CA · Rr Medicare

OtherP01470028-DV5277CA · Rr Medicare

Medicare PINCA147596 - CA140503CA

Medicare PINCA136822CA

MedicaidEFF: 11/13/2014CA

Other Providers at the Same Location NPPES 18

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

MEGAN LORENE BROWN LCSW

Social Worker (Clinical)