Active NPI
Sandra Kay Saunders, MD
- Emergency Medicine Physician
- Walnut Creek, CA
National Provider Identifier
1205861036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G63481
- Practice address
- 1990 N California Blvd
Ste. 400
Walnut Creek, CA 94596-3742 - Phone
- (925) 225-5837
- NPI assigned
- Jul 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G63481 | CA | Primary |
Addresses
Primary practice location
1990 N California Blvd
Ste. 400
Walnut Creek, CA 94596-3742
Mailing address
P.O. Box 3371
Ashland, OR 97520
Phone (541) 488-4198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G634810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63481 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Eddy Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| North Sonoma County Health Care District | Past | Accepting new patients | |
| California Em-I Medical Services, a Medical Corporation | Emergency Medicine | Past | Accepting new patients |
| Memorial Emergency Physicians Medical Group, Inc | Past | Accepting new patients |
Locations
914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Mount Shasta, CA
- NPI 1316299787
-
- Emergency Medicine Physician
- Los Alamitos, CA
- NPI 1477502615
-
- Emergency Medical Services (Emergency Medicine) Physician
- Indio, CA
- NPI 1275821308
-
dba Healdsburg District Hospital
- Skilled Nursing Facility
- Healdsburg, CA
- NPI 1952487159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1205861036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 3371",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-488-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 N CALIFORNIA BLVD",
"address_2": "STE. 400",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945963742",
"telephone_number": "925-225-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "SANDRA",
"middle_name": "KAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G63481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G634810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.