Healthcare Provider Details

I. General information

NPI: 1922911015
Provider Name (Legal Business Name): SANDRA VELASCO ROJAS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 E FESLER ST
SANTA MARIA CA
93454-4510
US

IV. Provider business mailing address

410 E FESLER ST
SANTA MARIA CA
93454-4510
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-5244
  • Fax:
Mailing address:
  • Phone: 805-681-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95378501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: