Individual provider Active NPI

Catherine Alicia Sanders, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1366714925
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43485 Issued in CA
Practice address
915 Bryant St
San Francisco, CA 94103-4514
Phone
(415) 777-9953
Fax
(415) 777-4717
NPI assigned
Jan 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43485 CA Primary

Addresses

Primary practice location

915 Bryant St
San Francisco, CA 94103-4514

Mailing address

915 Bryant St
San Francisco, CA 94103-4514
Phone (415) 777-9953

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
I20150423001104 CA Practitioner - Internal MedicinePractitioner - General Practice 1759609712 Reassigns benefits to 1 organization

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

State licenses

LicenseStateTypeSpecialty
A43485CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Treatment Services Inc CurrentSince Feb 1, 2013 Accepting new patients
El Dorado Community Service Center Current Accepting new patients
Fort Help Mission Inc CurrentSince May 1, 2012 Accepting new patients

Locations

4450 W Century Blvd
Inglewood, CA 90304
Phone (310) 671-0555

26460 Summit Cir
Santa Clarita, CA 91350
Phone (562) 916-7581

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.

NPI Registry JSON

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

{
    "created_epoch": "1327795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1366714925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034514",
            "telephone_number": "415-777-9953",
            "fax_number": "415-777-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BRYANT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941034514",
            "telephone_number": "415-777-9953",
            "fax_number": "415-777-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "CATHERINE",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-29",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.