Individual provider Active NPI

Sanford L. Ratner, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Ana, CA
National Provider Identifier
1922178672
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
27058 Issued in CA
Practice address
1200 N Tustin Ave Ste 108
Santa Ana, CA 92705
Phone
(714) 835-7771
Fax
(714) 835-1715
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 27058 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave Ste 108
Santa Ana, CA 92705

Mailing address

1200 N Tustin Ave Ste 108
Santa Ana, CA 92705
Phone (714) 835-7771

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000249 CA Practitioner - Oral Surgery 5294776662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27058CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford L. Ratner DDS and Monty C.Wilson DDS Inc. Oral and Maxillofacial Surgery CurrentSince Apr 16, 2008 Accepting new patients
St. Joseph Hospital Past Accepting new patients
The Regents of the University of California Oral and Maxillofacial Surgery PastSince Jun 1, 1997 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

436 S Glassell St
Orange, CA 92866
Phone (714) 633-6060

1200 N Tustin Ave
Ste 108
Santa Ana, CA 92705
Phone (714) 835-7771

Organizations & group practices 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922178672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-835-7771",
            "fax_number": "714-835-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 108",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-835-7771",
            "fax_number": "714-835-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNER",
        "first_name": "SANFORD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "27058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.