Alfred Mitchell Sanedrin

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

951 Dowling Blvd
San Leandro, CA 94577-2125

Phone

(510) 504-0115

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By the provider in NPPES

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)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Bay Agency for Children

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1831479930
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1487107322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 VAN BUREN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104340",
            "telephone_number": "510-268-3770",
            "fax_number": "510-268-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 DOWLING BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772125",
            "telephone_number": "510-504-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEDRIN",
        "first_name": "ALFRED",
        "middle_name": "MITCHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Isaac Sandler, PSY.D.
• Jaime Sandoval-Gonzalez
• Arelis Manjarrez Sandoval, RN
• Rebecca Del. Carmen Sandoval
• Dani W Sands, CPSS
• Serom Sanftner, LCSW
• Ashvin Madhu Sangoram, M.D. PHD
• Sanhyd, Inc. (Jones Convalescent Hospital)
• Tearna Nyassa Sankofa
• Nikia Sanni

• Counselor in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.