Lawrence B Sandberg, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

C42465 Issued in CA

Practice address

2880 Hulen PL
Riverside, CA 92507-2606

Phone

(951) 715-3445

Fax

(951) 715-3449

NPI assigned

Aug 14, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1063845972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 HULEN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072606",
            "telephone_number": "951-715-3445",
            "fax_number": "951-715-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 HULEN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072606",
            "telephone_number": "951-715-3445",
            "fax_number": "951-715-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "LAWRENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "C42465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Sanchez
• Vanessa F Sanchez, BS-SLPA
• Walter Sanchez
• Wendy Sanchez
• Brandon Alexis Sandate Rodriguez, LMFT
• Alisha Sanders
• Barbara Sanders, LCSW
• Melissa Cherie Sanders, AMFT
• Christie Jazmine Sandez
• Sandhu DMD, Inc

• Adult Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.