Individual provider Active NPI

Angela Rivers Saunders, D.O.

  • Gastroenterology Physician
  • Willow Park, TX
National Provider Identifier
1932456308
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
Q2384 Issued in TX
Practice address
130 Jimma Dr Unit a
Willow Park, TX 76087-1331
Phone
(817) 599-6222
Fax
(817) 599-8151
NPI assigned
Aug 5, 2012
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20A17392 CA
Gastroenterology Physician 207RG0100X Q2384 TX Primary

Addresses

Primary practice location

130 Jimma Dr Unit a
Willow Park, TX 76087-1331

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

Other practice location 1

31625 De Portola Rd Ste 101
Temecula, CA 92592-2770
Phone (515) 014-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171103002128 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5193031375 Reassigns benefits to 2 organizations
I20191002003626 CA Practitioner - Gastroenterology 5193031375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

130 Jimma Dr
Willow Park, TX 76087-1329
Phone (817) 363-1410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as group
Quality
64.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1347NEMDAddiction (Substance Use Disorder) Counselor
20A17392CAMDGastroenterology Physician
Q2384TXMDGastroenterology Physician
17392CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
United Medical Doctors CurrentSince Sep 3, 2019 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Dec 1, 2024 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Trinity Medical Multi-Specialty Group Inc. Gastroenterology CurrentSince Mar 7, 2022 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Dec 1, 2024 Accepting new patients
United Medical Doctors Gastroenterology CurrentSince Sep 3, 2019 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

341 Magnolia Ave
Ste 207
Corona, CA 92879
Phone (951) 734-9930

12442 Limonite Ave
Unit 209
Eastvale, CA 91752
Phone (951) 332-7170

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090

31625 De Portola Rd
Ste 101
Temecula, CA 92592
Phone (951) 501-4200

31625 De Portola Rd
Ste 102
Temecula, CA 92592
Phone (951) 501-4251

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525

130 Jimma Dr
Willow Park, TX 76087
Phone (817) 363-1410

130 Jimma Dr
Unit A
Willow Park, TX 76087
Phone (817) 363-1400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1932456308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JIMMA DR UNIT A",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760871331",
            "telephone_number": "817-599-6222",
            "fax_number": "817-599-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31625 De Portola Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925922770",
            "country_code": "US",
            "telephone_number": "515-014-2009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "ANGELA",
        "middle_name": "RIVERS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A17392",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "Q2384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Park, TX

Sources for this page

Verify at the official NPI Registry.