James M Sandys, MD | |
721 River Drive, Suite A, Fort Bragg, CA 95437-5403 | |
(707) 961-4631 | |
(707) 964-1192 |
Full Name | James M Sandys |
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Gender | Male |
Speciality | Family Medicine |
Location | 721 River Drive, Fort Bragg, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043381072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C40580 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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James M Sandys, MD 721 River Drive, Suite A, Fort Bragg, CA 95437-5403 Ph: (707) 961-4631 | James M Sandys, MD 721 River Drive, Suite A, Fort Bragg, CA 95437-5403 Ph: (707) 961-4631 |
John Gallo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Diane I. Harris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Mr. Sanford Jay Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815b Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-9168 Fax: 707-964-7243 | |
John Ernest Cottle Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Mr. Wade Joseph Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Dr. Larry Ira Heiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 |