Individual provider Active NPI

Roderick G S Sanden, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Carmichael, CA
National Provider Identifier
1952361412
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
G42245 Issued in CA
Practice address
3609 Mission Ave
Ste F
Carmichael, CA 95608-2955
Phone
(916) 484-4444
Fax
(916) 484-4447
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X G42245 CA Primary

Addresses

Primary practice location

3609 Mission Ave
Ste F
Carmichael, CA 95608-2955

Mailing address

3609 Mission Ave
Ste F
Carmichael, CA 95608-2955
Phone (916) 484-4444

Other identifiers 2

IdentifierTypeStateIssuer
2229523MedicaidCA
G42245OtherCASTATE LICENCE NUMBER

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
I20091012000474 CA Practitioner - Neurology 8325184963 Reassigns benefits to 1 organization
Practice locations: Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Francisco School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lively Virtual Care Organization PCGroup PAC ID 7911354766, 2 clinicians

Practice addresses (Care Compare)

Roseville, CA 95678
Phone (916) 235-8617

3609 Mission Ave
Carmichael, CA 95608-2955
Phone (916) 484-4444

3609 Mission Ave F
Carmichael, CA 95608-2955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42245CAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lively Virtual Care Organization PC CurrentSince Nov 14, 2023 Accepting new patients
Advanced Neuro Spinal Care Medical Clinic CurrentSince Oct 10, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rsanden235565@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952361412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "STE F",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-484-4444",
            "fax_number": "916-484-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 MISSION AVE",
            "address_2": "STE F",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082955",
            "telephone_number": "916-484-4444",
            "fax_number": "916-484-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEN",
        "first_name": "RODERICK",
        "middle_name": "G S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "G42245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2229523",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "G42245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.