Provider Demographics
NPI:1841308269
Name:SAUNDERS, JAMES R II (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:SAUNDERS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 28TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3603
Mailing Address - Country:US
Mailing Address - Phone:510-452-4824
Mailing Address - Fax:510-465-4503
Practice Address - Street 1:424 28TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3603
Practice Address - Country:US
Practice Address - Phone:510-452-4824
Practice Address - Fax:510-465-4503
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23852174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA23726Medicare UPIN
CAZZZ70089ZMedicare ID - Type Unspecified