Active NPI
Audrey Sanford
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A148548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A148548 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | 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 | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | 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
- 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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
- Urgent Care Clinic/Center
- Madera, CA
- NPI 1922297985
-
- Emergency Medicine Physician
- West Covina, CA
- NPI 1346614054
-
- Emergency Medicine Physician
- Santa Cruz, CA
- NPI 1811274483
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Psychiatric Hospital Unit
- San Mateo, CA
- NPI 1144309055
-
- Public Health or Welfare Agency
- San Mateo, CA
- NPI 1306907928
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.