Sandra Rae Hansbrough
Dental Hygienist in Forest Ranch, CA. Individual provider (NPI-1).
NPI number1124886635
StatusActive
Last updated in NPPESMar 8, 2024
Details
- NPI
- 1124886635
- Entity type
- Individual (NPI-1)
- Name
- Sandra Rae Hansbrough
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2024
- Certification date
- Mar 8, 2024
- Last updated
- Mar 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 20395 | CA | Yes |
Practice location
15110 Siwini Rd # 132Forest Ranch, CA 95942-9664
Phone 530-521-9300
Mailing address
15110 Siwini Rd # 132Forest Ranch, CA 95942-9664
Phone 530-521-9300
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