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TIMOTHY SANDERS MD, PHD
NPI 1104018720
Pediatrics - Neonatal-Perinatal Medicine in Oakland, CA

Active since August 16, 2007PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3276 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2023, Oct 24, 2022, May 19, 2022 (3 updates tracked since 2022).

About Timothy Sanders Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY SANDERS MD, PHD (NPI 1104018720) is an individual neonatal-perinatal medicine provider in Oakland, California, licensed in California (101072) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104018720
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameTIMOTHY SANDERSCredential: MD, PHD
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3276
Phone(510) 428-3276
Sole ProprietorNo
Enumeration DateAugust 16, 2007
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1104018720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · 101072
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
747 52ND ST, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Sanders Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHERYL LEE GARCIA RN
Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ERICA TRINGALE N.P,
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3373
MRS. NATALIE PLOTKIN MS, ACPNP
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3484
REBECCA ROMANOV MD
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3331
SHELLEY ANNE BULL CPNP-PC
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
KARIDA ADETORO
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
ANNIE ROQUE
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-4418
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Sanders's NPI number?

The NPI number for Timothy Sanders is 1104018720. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is Timothy Sanders located?

Timothy Sanders practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3276.

What is Timothy Sanders's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Timothy Sanders enrolled in Medicare?

Yes. Timothy Sanders is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Sanders was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.