Individual provider Active NPI

Sandra R Alexander, M.D.

  • General Practice Physician
  • Carlsbad, CA
National Provider Identifier
1609815091
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C169320 Issued in CA
Practice address
1905 Calle Barcelona
Carlsbad, CA 92009-8450
Phone
(858) 554-1212
Fax
(858) 554-1212
NPI assigned
Jun 4, 2006
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C169320 CA Primary

Addresses

Primary practice location

1905 Calle Barcelona
Carlsbad, CA 92009-8450

Mailing address

619 E Laurel Ave
Foley, AL 36535-3301
Phone (251) 943-5689

Other identifiers 3

IdentifierTypeStateIssuer
CB355121MedicaidCA
051553580MedicaidAL
051516488OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081218000362 AL Practitioner - General Practice 6800958281 Reassigns benefits to 3 organizations
I20200915003470 CA Practitioner - General Practice 6800958281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Central Baldwin Physicians, LLC.Group PAC ID 3274825328, 4 clinicians
Imc-Eastern Shore Adult Medicine, LLCGroup PAC ID 3375718042, 19 clinicians

Practice addresses (Care Compare)

18317 US Hwy 90
Robertsdale, AL 36567
Phone (251) 947-2000

915 W Laurel Ave
Foley, AL 36535-1324
Phone (251) 286-9990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C169320CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Aug 1, 2020 Accepting new patients
Imc-Central Baldwin Physicians LLC CurrentSince Apr 1, 2026 Accepting new patients
Coastal Occupational Medicine and Pain Management, P.C. CurrentSince Nov 15, 2018 Accepting new patients
Imc-Eastern Shore Adult Medicine, LLC CurrentSince Nov 1, 2023 Accepting new patients
West Florida Medical Center Clinic, PA Past Accepting new patients
Foley Clinic Corp Past Accepting new patients

Locations

300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560

300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424

915 W Laurel Ave
Foley, AL 36535
Phone (251) 286-9990

1905 Calle Barcelona
Ste 211
Carlsbad, CA 92009
Phone (858) 766-6007

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1609815091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353301",
            "telephone_number": "251-943-5689",
            "fax_number": "251-943-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098450",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C169320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB355121",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553580",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051516488",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.