JACK WARREN SAUNDERS (NPI# 1477564078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477564078 |
| Entity Type | Individual |
| Full Name | JACK WARREN SAUNDERS |
| Credential | MD |
| Practice Address |
914 Pine Street Mount Shasta CA 96067-2143 |
| Mailing Address |
P.o. Box 12259 Westminster CA 92685-2259 |
| Practice Telephone | 5309266111 |
| Mailing Telephone | 8886348405 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | G32096 | CA | Emergency Medical Service Providers |
| N | 207P00000X | Emergency Medicine | G32096 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G320960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801175807 | Jack Richard Saunders | Physician Assistant | 220 Millpond, Stansbury Park, UT 84074-9745 | 2011-08-08 |
| Street Address |
914 PINE STREET |
| City | MOUNT SHASTA |
| State | CA |
| Zip Code | 96067-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948314 | Carrie Lynn Carlin | Radiology | 914 Pine Street, Mount Shasta, CA 96067-9688 | 2005-11-09 |
| 1447456132 | Benjamin Shane Nuti | Nurse Anesthetist, Certified Registered | 914 Pine Street, Mount Shasta, CA 96067 | 2007-06-21 |
| 1497849574 | Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-10-03 |
| 1104929017 | Grover Gene Shipman | Emergency Medicine | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-09-06 |
| 1164433777 | Martin E. Towbin | Personal Emergency Response Attendant | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-08-10 |
| 1992716682 | Thomas Edward Morris | Personal Emergency Response Attendant | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
| 1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
| 1720477052 | Mountain Medics Inc | Ambulance | 234 Gateway Park Drive, Mount Shasta, CA 96067 | 2015-01-09 |
| 1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
| 1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
| 1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
| 1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
| 1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
| 1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
| 1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
| Find all providers in zip 96067 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164433777 | Martin E. Towbin | Personal Emergency Response Attendant | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-08-10 |
| 1992716682 | Thomas Edward Morris | Personal Emergency Response Attendant | 914 Pine Street, Mount Shasta, CA 96067-2143 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895405 | Nora G Ferguson | Personal Emergency Response Attendant | 12245 Manor Dr Apt C, Hawthorne, CA 90250-3751 | 2017-11-16 |
| 1689118614 | Vincent Viola | Personal Emergency Response Attendant | 5055 Walnut Park Dr, Santa Barbara, CA 93111-1837 | 2016-12-09 |
| 1497100382 | Henry Davis Harris | Personal Emergency Response Attendant | 4632 1/2 St Charles Pl, Los Angeles, CA 90019-5730 | 2016-04-28 |
| 1659789543 | Judith Daley | Personal Emergency Response Attendant | 211 Hidden Ln, Santa Cruz, CA 95060-1276 | 2014-07-24 |
| 1679816391 | Emma M Dermody | Personal Emergency Response Attendant | 4482 Hyacinth Ave, Oakland, CA 94619-2816 | 2013-04-01 |
| 1245570670 | Lewis Rosenberg | Personal Emergency Response Attendant | 3790 Parkview Dr, Lakewood, CA 90712-3843 | 2013-02-21 |
| 1003106170 | Instant Care, Inc. | Personal Emergency Response Attendant | 2310 Cousteau Ct, Vista, CA 92081-8346 | 2011-04-11 |
| 1558651711 | Tristan David Cavender | Personal Emergency Response Attendant | 915 57th St, San Diego, CA 92114-1205 | 2011-04-08 |
| 1104115195 | Nejat Basiratmand | Personal Emergency Response Attendant | 17740 Burbank Blvd, # 101, Encino, CA 91316-1648 | 2011-03-31 |
| 1821392390 | Muna Vienna | Personal Emergency Response Attendant | 1275 Quarry St, Corona, CA 92879-1707 | 2010-12-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT SHASTA |
| Zip Code | 96067 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.