Michael Clifton Sayre, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G24705 Issued in CA

Practice address

5909 Lake Earl Drive
Pelican Bay State Prison
Crescent City, CA 95531-7000

Phone

(707) 465-9197

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dignity Health

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306965660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7000",
            "address_2": "PELICAN BAY STATE PRISON",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955317000",
            "telephone_number": "707-465-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 LAKE EARL DRIVE",
            "address_2": "PELICAN BAY STATE PRISON",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955317000",
            "telephone_number": "707-465-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRE",
        "first_name": "MICHAEL",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G24705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashkan Samie, MD
• Lazell Marie Sanders
• Duane A Sands
• Linda Sanford, M.A.
• Peter C Sayer, PSY.D.
• Sam Sazegar, PHARM D
• Kendra Scanlon, LCSW
• Angela Lynn Schaefer
• Kamilia Ann Schnacker
• Alyssa Schroeder, OTR/L

• Family Medicine Physician in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.