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SANDRA JOANNE PETHAN
NPI 1477229615
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since August 18, 2021
8945 GOLF LINKS RD, OAKLAND, CA 94605(510) 317-1444 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2022, Aug 18, 2021 (2 updates tracked since 2021).

About Sandra Joanne Pethan NPPES

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

SANDRA JOANNE PETHAN (NPI 1477229615) is an individual student in an organized health care education/training program in Oakland, California, licensed in California (124543) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1477229615
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSANDRA JOANNE PETHAN
Location Address8945 GOLF LINKS RDOakland, CA 94605-4124
Mailing Address8945 Golf Links RdOakland, CA 94605-4124 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Enumeration DateAugust 18, 2021
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1477229615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · 124543
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 124543 (CA)
8945 GOLF LINKS RD, Oakland, CA 94605
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Other Providers at the Same Location NPPES 20

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

MRS. ABBY ROSS BLUM LCSW
Social Worker (Clinical)
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
JOANN CELI
Technician, Health Information
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
KASSANDRA GALLARDO
Rehabilitation Practitioner
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
AMANDA NIXON RN
Registered Nurse
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
BRIANNA JASMINE BICE
Rehabilitation Practitioner
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
MAIRA POLANCO-HURTADO
Day Training/Habilitation Specialist
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
JOLIE PATTERSON
Registered Nurse
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444
MISS RUBY NUNEZ
Student in an Organized Health Care Education/Training Program
8945 GOLF LINKS RD
OAKLAND, CA 94605
Alameda County (510) 317-1444

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 Sandra Pethan's NPI number?

The NPI number for Sandra Pethan is 1477229615. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Sandra Pethan located?

Sandra Pethan practices at 8945 Golf Links Rd, Oakland, CA 94605. The listed phone number is (510) 317-1444.

What is Sandra Pethan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sandra Pethan was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.