Individual provider Active NPI

Emily Anne Sander, MD

  • Integrative Medicine Physician
  • Yreka, CA
National Provider Identifier
1568705671
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
A138803 Issued in CA
Practice address
202 Lawrence LN
Yreka, CA 96097-3341
Phone
(530) 572-1566
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine Physician 202D00000X MD209748 OR
Emergency Medicine Physician 207P00000X A138803 CA
Integrative Medicine Physician 202D00000X A138803 CA Primary

Addresses

Primary practice location

202 Lawrence LN
Yreka, CA 96097-3341

Mailing address

202 Lawrence LN
Yreka, CA 96097-3341
Phone (530) 572-1566

Other practice location 1

1801 Buenaventura Blvd
Redding, CA 96001-3700
Phone (530) 572-1566

Other practice location 2

1630 Siskiyou Blvd Ste B
Ashland, OR 97520-2423
Phone (541) 625-7775

Other identifiers 1

IdentifierTypeStateIssuer
1568705671MedicaidNY

Other names 1

  • Dr. Emily Anne Eastman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 19, 2023 through Jul 19, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD209748ORMDIntegrative Medicine Physician
A138803CAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1568705671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAWRENCE LN",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973341",
            "telephone_number": "530-572-1566",
            "fax_number": "888-600-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAWRENCE LN",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973341",
            "telephone_number": "530-572-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Buenaventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960013700",
            "country_code": "US",
            "telephone_number": "530-572-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Siskiyou Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975202423",
            "country_code": "US",
            "telephone_number": "541-625-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDER",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "OR",
            "license": "MD209748",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A138803",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "CA",
            "license": "A138803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568705671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "EASTMAN",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.