Individual provider Active NPI

George H Sanders, MD

  • Plastic Surgery Physician
  • Encino, CA
National Provider Identifier
1548350366
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G42048 Issued in CA
Practice address
16633 Ventura Blvd
#110
Encino, CA 91426
Phone
(818) 981-3333
Fax
(818) 981-0249
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G42048 CA Primary

Addresses

Primary practice location

16633 Ventura Blvd
#110
Encino, CA 91426

Mailing address

16633 Ventura Blvd
#110
Encino, CA 91436
Phone (818) 981-3333

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
I20120321000732 CA Practitioner - Plastic and Reconstructive Surgery 0941480537 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Harvard Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16633 Ventura Blvd
Suite 110
Encino, CA 91436-1834
Phone (818) 981-3333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G42048CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encino Surgicenter a Medical Group Current Accepting new patients
Providence Health System - Southern California Past Accepting new patients
West Hills Hospital Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients
George H. Sanders Plastic Surgery PastSince Aug 1, 1985 Accepting new patients

Locations

16633 Ventura Blvd
Ste 110
Encino, CA 91436
Phone (818) 921-3333

Organizations & group practices 6

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1548350366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "#110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-981-3333",
            "fax_number": "818-981-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "#110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91426",
            "telephone_number": "818-981-3333",
            "fax_number": "818-981-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "GEORGE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G42048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.