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KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION
NPI 1902451263
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in San Diego, CA

Active since August 05, 2019
4510 EXECUTIVE DR STE 108, SAN DIEGO, CA 92121(619) 333-3515(833) 974-2067 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2023, Aug 5, 2019 (2 updates tracked since 2019).

About Kimberly M. Sandberg, Rn, Crna, A Professional Corporation NPPES

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

KIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION (NPI 1902451263) is a healthcare organization registered as a behavioral neurology & neuropsychiatry in San Diego, California and active in the NPI registry since August 2019. The organization lists Kim Sandberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1902451263
Entity TypeOrganization
Primary Taxonomy2084B0040X
Legal Business NameKIMBERLY M. SANDBERG, RN, CRNA, A PROFESSIONAL CORPORATION
Location Address4510 EXECUTIVE DR STE 108San Diego, CA 92121-3022
Mailing Address2833 Aspen Glen CtChula Vista, CA 91914-2523 · (619) 944-2760
Phone(619) 333-3515
Fax(833) 974-2067
Organization SubpartNo
Authorized OfficialKim SandbergOwner · (619) 944-2760
Enumeration DateAugust 5, 2019
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
✔ NPI 1902451263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084B0040X
Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
4510 EXECUTIVE DR STE 108, San Diego, CA 92121
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

IESHIA TIANA BROWN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515
MS. JANET MARY REVELS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515
SOLVIS HEALTHCARE INC.
Physical Therapist
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (858) 457-7180
MARLENE MELUCCI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 333-3515
ALOHA INTEGRATIVE HEALTH
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121
San Diego County (619) 994-2760

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 Kimberly M. Sandberg, Rn, Crna, A Professional Corporation's NPI number?

The NPI number for Kimberly M. Sandberg, Rn, Crna, A Professional Corporation is 1902451263. It was assigned to this organization in the NPPES registry on August 5, 2019.

Where is Kimberly M. Sandberg, Rn, Crna, A Professional Corporation located?

Kimberly M. Sandberg, Rn, Crna, A Professional Corporation is located at 4510 Executive Dr Ste 108, San Diego, CA 92121. The listed phone number is (619) 333-3515.

What is Kimberly M. Sandberg, Rn, Crna, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

When was this NPI record last updated?

The NPPES record for Kimberly M. Sandberg, Rn, Crna, A Professional Corporation was last updated on June 6, 2023. 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.