Provider Demographics
NPI:1780739706
Name:SAGER, RONALD JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAMES
Last Name:SAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 BAY AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-2102
Mailing Address - Country:US
Mailing Address - Phone:831-515-7180
Mailing Address - Fax:831-515-7037
Practice Address - Street 1:820 BAY AVE STE 206
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2102
Practice Address - Country:US
Practice Address - Phone:831-515-7180
Practice Address - Fax:831-515-7037
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG848582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G848580Medicaid
CA00G848580Medicaid
CA00G848583Medicare PIN