Individual provider Active NPI

Bradley Jay Sandler, MD

  • Ophthalmology Physician
  • Fairfield, CA
National Provider Identifier
1932102415
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G53878 Issued in CA
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

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G538781MedicaidCA

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
I20051028001041 CA Practitioner - Ophthalmology 0143247072 Reassigns benefits to 3 organizations

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
Bradley J Sandler MD Inc.Group PAC ID 7113143983, 2 clinicians

Practice addresses (Care Compare)

1345 Gateway Blvd
Fairfield, CA 94533-6904
Phone (707) 422-6500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery357
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53878CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2005 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 15, 2014 Accepting new patients
Northbay Healthcare Group CurrentSince Aug 1, 2005 Accepting new patients
Bradley J Sandler MD Inc Ophthalmology CurrentSince May 23, 2014 Accepting new patients
Regents of the Univ of Ca Ophthalmology CurrentSince Oct 15, 2014 Accepting new patients
Bradley J Sandler MD Inc Ophthalmology CurrentSince May 23, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.