Provider Demographics
NPI:1689927543
Name:SANDOZ, CATHERINE CLARY (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:CLARY
Last Name:SANDOZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NEWBURY RD
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-6435
Mailing Address - Country:US
Mailing Address - Phone:805-214-9990
Mailing Address - Fax:805-214-9930
Practice Address - Street 1:1000 NEWBURY RD
Practice Address - Street 2:SUITE # 210
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320-6435
Practice Address - Country:US
Practice Address - Phone:805-214-9990
Practice Address - Fax:805-214-9930
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21471363LF0000X
LARN105191163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse