Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sara San Pedro

Individual provider Registered Nurse · NPI 1821874876

Sara San Pedro is a Nurse Practitioner in Ventura, California. Qualified in 2023, 3 years ago. Practices with Clinicas Del Camino Real Inc, a 99-clinician group and accepts Medicare assignment. Licensed in California, North Carolina and New Hampshire.

Years since qualifying
3
Licensed in
CA, NC, NH
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

200 S Wells Rd Ste 100
Ventura, CA 93004-1378
Phone: (805) 647-6322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95029042 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 310168 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 092485-23 (NH)

Record details

NPI number1821874876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address1040 Flynn Rd, Camarillo, CA 93012-5092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Clinicas Del Camino Real Inc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ventura