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JACK WARREN SAUNDERS MD
NPI 1477564078
Personal Emergency Response Attendant in Mount Shasta, CA

Active since August 10, 2006PECOS Enrolled
914 PINE STREET, MOUNT SHASTA, CA 96067(530) 926-6111 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jack Warren Saunders Md NPPES

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

JACK WARREN SAUNDERS MD (NPI 1477564078) is an individual personal emergency response attendant in Mount Shasta, California, licensed in California (G32096) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477564078
Entity TypeIndividualMale
Primary Taxonomy146D00000X
Provider Legal NameJACK WARREN SAUNDERSCredential: MD
Location Address914 PINE STREETMount Shasta, CA 96067-2143
Mailing AddressP.o. Box 12259Westminster, CA 92685-2259 · (888) 634-8405
Phone(530) 926-6111
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 2, 2008
✔ NPI 1477564078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPersonal Emergency Response AttendantEmergency Medical Service Providers
Taxonomy Code146D00000X
License✔ Licensed in CA · G32096
Definition
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License G32096 (CA)
914 PINE STREET, Mount Shasta, CA 96067
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Other Identifiers 4

Medicare PIN00G320963CA
Medicare UPINA45003CA
Medicaid00G320960CA
Medicare PIN00G320962CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Warren Saunders 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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Saunders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mccloud Healthcare Clinic, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
824 PINE ST
Mount Shasta, CA 96067
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
NPI 1033675582 (530) 926-4528

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

GROVER GENE SHIPMAN MD
Emergency Medicine
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6111
MARTIN E. TOWBIN MD
Personal Emergency Response Attendant
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6111
MR. BENJAMIN SHANE NUTI CRNA
Nurse Anesthetist, Certified Registered
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6111
VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Emergency Medicine
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6111
CARRIE LYNN CARLIN MD
Radiology (Diagnostic Radiology)
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-9335
THOMAS EDWARD MORRIS MD
Personal Emergency Response Attendant
914 PINE STREET
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6111

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 Jack Saunders's NPI number?

The NPI number for Jack Saunders is 1477564078. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jack Saunders located?

Jack Saunders practices at 914 Pine Street, Mount Shasta, CA 96067. The listed phone number is (530) 926-6111.

What is Jack Saunders's specialty?

The primary specialty registered for this NPI is Personal Emergency Response Attendant with taxonomy code 146D00000X.

Is Jack Saunders enrolled in Medicare?

Yes. Jack Saunders is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Saunders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Saunders reassigns Medicare benefits to Mccloud Healthcare Clinic, Inc. (Mount Shasta, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Saunders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Saunders was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.