Robert B. Sanders D.O., a Prof. Corp.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A5544 Issued in CA

Legal business name

ROBERT B. SANDERS D.O., A PROF. CORP.

Practice address

225 W Madison Ave Ste 2
El Cajon, CA 92020-3454

Phone

(619) 334-7542

Fax

(619) 938-2568

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Robert B. Sanders, D.O.NPI 1144264300

Title

Owner

Phone

(619) 922-4272

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Bradley Sanders, D.O.

  • Psychiatry Physician
  • El Cajon, CA
  • NPI 1144264300
  Medicare reassignment Care Compare group NPD Authorized official
• Mandy Marie Brannen, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
  • NPI 1891205159
  Medicare reassignment Care Compare group NPD
• Deomel M Soriano, PMHNP-BC, RN, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
  • NPI 1164641650
  Medicare reassignment Care Compare group
• Janet Marie Chudacek, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
  • NPI 1932606118

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1962946442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516529",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510590",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W MADISON AVE STE 2",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203454",
            "telephone_number": "619-334-7542",
            "fax_number": "619-938-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919421535",
            "country_code": "US",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28999 Old Town Front St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902842",
            "country_code": "US",
            "telephone_number": "619-334-7542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT B. SANDERS D.O., A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-922-4272",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A5544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A5544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marylou Hurlbut Roberts, LCSW
• Angela Marie Robertson, RN
• Ursula Robertson, H.H.P
• Damon Marshall Robinson, CATC-1

• Psychiatry Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.