Individual provider Active NPI

Jose R Sanchez, M.D.

  • Specialist
  • Carmichael, CA
National Provider Identifier
1356428916
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G61393 Issued in CA
Practice address
4800 Manzanita Ave
Ste B-3
Carmichael, CA 95608-0891
Phone
(916) 481-3042
Fax
(916) 481-3044
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G61393 CA Primary

Addresses

Primary practice location

4800 Manzanita Ave
Ste B-3
Carmichael, CA 95608-0891

Mailing address

4800 Manzanita Ave
Ste B-3
Carmichael, CA 95608-0891
Phone (916) 481-3042

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000132 CA Practitioner - Internal MedicinePractitioner - Addiction Medicine 0648320176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1356428916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MANZANITA AVE",
            "address_2": "STE B-3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080891",
            "telephone_number": "916-481-3042",
            "fax_number": "916-481-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MANZANITA AVE",
            "address_2": "STE B-3",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080891",
            "telephone_number": "916-481-3042",
            "fax_number": "916-481-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G61393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.