SARA SAN PEDRO NPI 1821874876

NPI Information

  • NPI: 1821874876
  • Provider Name: SARA SAN PEDRO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 S WELLS RD STE 100
    VENTURA, CA
    ZIP 93004
  • Phone: (805) 647-6322

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NPI Details

Sara San Pedro is a family nurse practitioner in Ventura, CA with 3 years of experience. Sara San Pedro NPI is 1821874876. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 S WELLS RD STE 100
VENTURA, CA
ZIP 93004-378
Phone: (805) 647-6322

The NPI 1821874876 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2023 and was last updated on 6/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse310168NORTH CAROLINANo
2363LF0000XNurse PractitionerFamily092485-23NEW HAMPSHIRENo
3363LF0000XNurse PractitionerFamily95029042CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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