JACQUELYN SANDER PA-C
NPI 1881136570
Physician Assistant in Redondo Beach, CA

Active since November 10, 2016
1106 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277(310) 316-1661 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2016, Nov 10, 2016 (2 updates tracked since 2016).

About Jacquelyn Sander Pa-c NPPES

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

JACQUELYN SANDER PA-C (NPI 1881136570) is an individual physician assistant in Redondo Beach, California, licensed in California (54005) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1881136570
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN SANDERCredential: PA-C
Location Address1106 S PACIFIC COAST HWYRedondo Beach, CA 90277-4902
Mailing Address1106 S Pacific Coast HwyRedondo Beach, CA 90277-4902 · (310) 316-1661
Sole ProprietorYes
Enumeration DateNovember 10, 2016
Last NPPES UpdateDecember 19, 20162 updates tracked since enumeration
NPI 1881136570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 54005
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1106 S PACIFIC COAST HWY, Redondo Beach, CA 90277

Other Providers at the Same Location NPPES 4

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

Family Medicine
1106 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Clinic/Center (Urgent Care)
1106 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Clinic/Center (Urgent Care)
1106 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277
Family Medicine
1106 S PACIFIC COAST HWY
REDONDO BEACH, CA 90277

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 Jacquelyn Sander's NPI number?

The NPI number for Jacquelyn Sander is 1881136570. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is Jacquelyn Sander located?

Jacquelyn Sander practices at 1106 S Pacific Coast Hwy, Redondo Beach, CA 90277. The listed phone number is (310) 316-1661.

What is Jacquelyn Sander's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Sander was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.