Individual provider Active NPI

Jamie Beth Sanders, FNP-BC

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1275871246
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
792228 Issued in CA
Practice address
4870 Barranca Pkwy
Ste 110
Irvine, CA 92604-4709
Phone
(949) 791-3106
Fax
(949) 791-3169
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 792228 CA Primary

Addresses

Primary practice location

4870 Barranca Pkwy
Ste 110
Irvine, CA 92604-4709

Mailing address

4870 Barranca Pkwy
Ste 110
Irvine, CA 92604-4709
Phone (949) 791-3106

Other names 1

  • Jamie Beth Moore Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130311000223 CA Practitioner - Nurse Practitioner 9234384611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300

16205 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3781
Phone (949) 557-0000

19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050

21115 Newport Coast Dr
Newport Beach, CA 92657-1122
Phone (949) 557-0730

24060 Camino del Avion
Suite a
Dana Point, CA 92629-4006
Phone (949) 557-0870

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

26672 Portola Pkwy
Suite 100
Foothill Ranch, CA 92610-1773
Phone (949) 557-0710

31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3749
Phone (949) 557-0880

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

49000 Barranca Pkwy
Suite 103
Irvine, CA 92604-8603
Phone (949) 791-3106

6340 Irvine Blvd
Suite 200
Irvine, CA 92620-2102
Phone (949) 559-6500

993 Avenida Pico
San Clemente, CA 92673-3908
Phone (949) 557-0400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
792228CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Clinic CurrentSince Mar 1, 2019 Accepting new patients
HMTS, Inc CurrentSince May 7, 2024 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330

4900 Barranca Pkwy
Ste 103
Irvine, CA 92604
Phone (949) 726-0600

510 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 764-4500

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1275871246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-791-3106",
            "fax_number": "949-791-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-791-3106",
            "fax_number": "949-791-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JAMIE",
        "middle_name": "BETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "792228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MOORE",
            "middle_name": "BETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.