Active NPI
Bradley Jay Sandler, MD
- Ophthalmology Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G53878
- Practice address
- 1345 Gateway Blvd
Ste B
Fairfield, CA 94533-6904 - Phone
- (707) 422-6500
- Fax
- (707) 422-6556
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G53878 | CA | Primary |
Addresses
Primary practice location
1345 Gateway Blvd
Ste B
Fairfield, CA 94533-6904
Mailing address
1360 Burton Dr
Suite 150
Vacaville, CA 95687-3557
Phone (707) 422-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G538781 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Miami, LM Miller School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1345 Gateway Blvd
Fairfield, CA 94533-6904
Phone (707) 422-6500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 357 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53878 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Bradley J Sandler MD Inc | Ophthalmology | Current | Accepting new patients |
| Regents of the Univ of Ca | Ophthalmology | Current | Accepting new patients |
| Bradley J Sandler MD Inc | Ophthalmology | Current | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1345 Gateway Blvd
#B
Fairfield, CA 94533
Phone (707) 422-6500
1345 Gateway Blvd
Fairfield, CA 94533
Phone (707) 422-6500
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1360 Burton Dr
Ste 150
Vacaville, CA 95687
Phone (707) 422-6500
Interoperability endpoints
- bsandler@directaddress.net
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Ophthalmologic Surgery Clinic/Center
- Fairfield, CA
- NPI 1740710425
Ophthalmology
-
- General Acute Care Hospital
- Vacaville, CA
- NPI 1255483202
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1629061882
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1932102415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 BURTON DR",
"address_2": "SUITE 150",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873557",
"telephone_number": "707-422-6500",
"fax_number": "707-422-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 GATEWAY BLVD",
"address_2": "STE B",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945336904",
"telephone_number": "707-422-6500",
"fax_number": "707-422-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLER",
"first_name": "BRADLEY",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G53878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G538781",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.