Individual provider Active NPI

Ronald William Sand, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1841372802
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59979 Issued in CA
Practice address
1100 Butte St
Redding, CA 96001-0852
Phone
(530) 949-2259
Fax
(530) 229-3703
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G59979 CA Primary

Addresses

Primary practice location

1100 Butte St
Redding, CA 96001-0852

Mailing address

1321 Butte St
# 202
Redding, CA 96001-1034
Phone (530) 246-5710

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
I20040506000642 CA Practitioner - Hospice/Palliative CarePractitioner - Family Practice 5991792244 Reassigns benefits to 2 organizations
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
University of California, Davis School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mendocino Care NetworkGroup PAC ID 3173950987, 5 clinicians

Practice addresses (Care Compare)

643 S Main St
Suite B
Ukiah, CA 95482-4987
Phone (707) 380-5080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59979CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Mar 22, 2015 Accepting new patients
Shasta Community Health Center Family Medicine CurrentSince Mar 22, 2015 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Mendocino Care Network CurrentSince Dec 11, 2019 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

643 S Main St
Ste B
Ukiah, CA 95482
Phone (707) 380-5080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20518/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ronald.sand.1@20518.direct.athenahealth.com

Organizations & group practices 4

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1841372802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 BUTTE ST",
            "address_2": "# 202",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011034",
            "telephone_number": "530-246-5710",
            "fax_number": "877-554-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-949-2259",
            "fax_number": "530-229-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "RONALD",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.