Active NPI
John Charles Sanders
- Psychologist
- Grass Valley, CA
National Provider Identifier
1487949764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561 - Phone
- (530) 265-1437
- Fax
- (530) 271-0257
- NPI assigned
- Jun 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | Primary | |
| Adult Companion | 372600000X | CA |
Addresses
Primary practice location
500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561
Mailing address
325 Bennett St
Grass Valley, CA 95945-6804
Phone (530) 265-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Center for Human Growth | Past | Accepting new patients | |
| Pacific Center for Human Growth | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Berkeley, CA
- NPI 1043434095
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1275687717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1487949764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 BENNETT ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456804",
"telephone_number": "530-265-1437",
"fax_number": "530-271-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROWN POINT CIR STE 120",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959459561",
"telephone_number": "530-265-1437",
"fax_number": "530-271-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "JOHN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.