Healthcare Provider Details

I. General information

NPI: 1164387767
Provider Name (Legal Business Name): SANDRA BAPTISTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24823 SOTO RD
HAYWARD CA
94544-1931
US

IV. Provider business mailing address

24823 SOTO RD
HAYWARD CA
94544-1931
US

V. Phone/Fax

Practice location:
  • Phone: 510-723-3857
  • Fax: 510-582-8805
Mailing address:
  • Phone: 510-723-3857
  • Fax: 510-582-8805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number602738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: