DR. RUSSELL LEONARD SANDBERG MD
NPI 1265522528
Internal Medicine - Addiction Medicine in San Rafael, CA

Q: What is Russell Sandberg's NPI number?

The NPI number for Russell Sandberg is 1265522528. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Q: What is Russell Sandberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Russell Sandberg was last updated on December 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 14, 2006PECOS Enrolled

1466 LINCOLN AVE, SAN RAFAEL, CA 94901(415) 457-3755(415) 457-0849 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Russell Leonard Sandberg Md NPPES

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

DR. RUSSELL LEONARD SANDBERG MD (NPI 1265522528) is an individual addiction medicine provider in San Rafael, California, licensed in California (G26538) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265522528

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameDR. RUSSELL LEONARD SANDBERGCredential: MD

Location Address1466 LINCOLN AVESan Rafael, CA 94901-2021

Mailing Address433 The AlamedaSan Anselmo, CA 94960-1210 · (415) 456-1649 · Fax (415) 456-1649

Phone(415) 457-3755

Fax(415) 457-0849

Sole ProprietorYes

Enumeration DateOctober 14, 2006

Last NPPES UpdateDecember 1, 2011

✔ NPI 1265522528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in CA · G26538

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

1466 LINCOLN AVE, San Rafael, CA 94901

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Other Identifiers 2

Medicaid00G265381CA

Medicare UPING26538CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Russell Leonard Sandberg Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

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