Individual provider Active NPI

Audrey Sanford

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1073930400
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A148548 Issued in CA
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A148548 CA Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (312) 785-3435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626001894 CA Practitioner - Emergency Medicine 3870803125 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wake Forest University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A148548CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jun 1, 2017 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Sep 5, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
County of San Mateo CurrentSince Jun 1, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Sep 5, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
County of San Mateo Past Accepting new patients
County of San Mateo Past Accepting new patients
Hill Physicians Medical Group Past Accepting new patients

Locations

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

1197 E Arques Ave
Sunnyvale, CA 94085
Phone (408) 773-9000

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: asanford19685@smch.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1073930400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "312-785-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "AUDREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A148548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.