Healthcare Provider Details

I. General information

NPI: 1124543202
Provider Name (Legal Business Name): CHERYL K. SANDHU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 HYDE ST
SAN FRANCISCO CA
94109-5996
US

IV. Provider business mailing address

1940 LAKESHORE AVE APT 52
OAKLAND CA
94606-1106
US

V. Phone/Fax

Practice location:
  • Phone: 415-673-5700
  • Fax:
Mailing address:
  • Phone: 510-882-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036068
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: