Active NPI
Jeffrey a Sandler MD, a Professional Corporation
- Specialist
- San Diego, CA
National Provider Identifier
1033239256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G23440
- Legal business name
- JEFFREY A SANDLER MD, A PROFESSIONAL CORPORATION
- Practice address
- 4060 4TH Ave Ste 340
San Diego, CA 92103-2121 - Phone
- (619) 497-6188
- Fax
- (619) 293-0120
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Alan Sandler, MD
- Title
- Owner
- Phone
- (619) 497-6188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G23440 | CA | Primary |
Addresses
Primary practice location
4060 4TH Ave Ste 340
San Diego, CA 92103-2121
Mailing address
4060 4TH Ave Ste 340
San Diego, CA 92103-2121
Phone (619) 497-6188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4060 4th Ave
Ste 340
San Diego, CA 92103
Phone (619) 497-6188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- San Diego, CA
- NPI 1740270313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1033239256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 4TH AVE STE 340",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032121",
"telephone_number": "619-497-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 4TH AVE STE 340",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032121",
"telephone_number": "619-497-6188",
"fax_number": "619-293-0120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY A SANDLER MD, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-30",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "SANDLER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-497-6188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G23440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.