Bradley J Sandler MD Inc

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

G53878 Issued in CA

Legal business name

BRADLEY J SANDLER MD INC

Practice address

1345 Gateway Blvd
Fairfield, CA 94533-6904

Phone

(707) 422-6500

Fax

(707) 422-6556

NPI assigned

Jun 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen M Sandler

Title

Administrator

Phone

(707) 422-6500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bradley J Sandler MD Inc

  dba Solano Eye Specialists

  • Optometrist
  • Vacaville, CA
  • NPI 1669885661

  7113143983

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bradley J Sandler Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bradley J Sandler MD Inc

  dba Solano Eye Specialists

  • Optometrist
  • Vacaville, CA
  • NPI 1669885661
  NPD tax ID

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlo G Castro, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1972986180
  NPD
• Kalina Ponsavanh Grimm, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1093324972
  NPD
• Todd Jeffrey Harter, O.D.

  • Optometrist
  • Santa Rosa, CA
  • NPI 1063573673
  NPD
• Vivian Yen Iles, O.D.

  • Optometrist
  • Manteca, CA
  • NPI 1952604357
  NPD
• Ashley McCafferty, OD

  • Optometrist
  • Encinitas, CA
  • NPI 1154843399
  NPD
• Bradley Jay Sandler, MD

  • Ophthalmology Physician
  • Fairfield, CA
  • NPI 1932102415
  NPD
• Celia Futch, O.D.

  • Optometrist
  • Danville, CA
  • NPI 1831444918
  NPD (past)
• Phuong Khanh Thi Ho, O.D

  • Optometrist
  • Vacaville, CA
  • NPI 1033366752
  NPD (past)
• Wilson Lee, O.D.

  • Optometrist
  • Davis, CA
  • NPI 1477841484
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1740710425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BURTON DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 GATEWAY BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336904",
            "telephone_number": "707-422-6500",
            "fax_number": "707-422-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY J SANDLER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-422-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "G53878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Bracy
• Braden Partners LP (Pacific Pulmonary Services)
• Jeanah Braden, M.D.
• Paul L Bradford, ACSW
• Rachel Bradford
• Bill Mack Bradley Jr.
• Keana Rose Bradley, MHRS
• John Albert Bradshaw Jr.
• Karen Diane Bradshaw
• Paulina Ntim Brako

• Ophthalmologic Surgery Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.