Individual
DR. GISELLA LAVERNE SANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4175
Mailing address
PO BOX 287, RIVERSIDE, CA 92502-0287
(951) 486-4175
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A70697
CA
208600000X
Surgery Physician
DR-50308
CO
208600000X
Surgery Physician
M-13674
ID
208600000X
Surgery Physician
M-1845
GU
2086S0102X
Surgical Critical Care Physician
A70697
CA
2086S0127X
Trauma Surgery Physician
A70697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A706970
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A706970
—
CA
05
—
58021736
—
CO
Enumeration date
06/05/2006
Last updated
07/22/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us