Provider Demographics
NPI:1912110784
Name:GLOBUS, SANDRA F (CFNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:F
Last Name:GLOBUS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26902 OSO PKWY STE 140
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-5801
Mailing Address - Country:US
Mailing Address - Phone:949-916-8870
Mailing Address - Fax:949-916-8840
Practice Address - Street 1:26902 OSO PKWY STE 140
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5801
Practice Address - Country:US
Practice Address - Phone:949-916-8870
Practice Address - Fax:949-916-8840
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1730271321OtherNPI
CA1912919804OtherTYPE 2 NPI
MSP25297Medicare UPIN
CAFX577ZMedicare PIN