E. Wayne Sanders, Jr. MD, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C29998 Issued in CA

Legal business name

E. WAYNE SANDERS, JR. MD, INC.

Practice address

3706 Telegraph Ave
Oakland, CA 94609-2418

Phone

(510) 375-2836

Fax

(510) 653-7159

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Edward Sanders, MDNPI 1790909588

Title

President

Phone

(510) 375-2836

Specialties & licenses 1

Addresses

Other names 1

• Bay Medical Corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Sanders, MD

  • General Practice Physician
  • Oakland, CA
  • NPI 1790909588
  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275757015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2270",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949662270",
            "telephone_number": "510-331-2788",
            "fax_number": "510-653-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092418",
            "telephone_number": "510-375-2836",
            "fax_number": "510-653-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. WAYNE SANDERS, JR. MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-375-2836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C29998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.