JACK WARREN SAUNDERS MD NPI 1477564078

NPI Information

  • NPI: 1477564078
  • Provider Name: JACK WARREN SAUNDERS, MD
  • Classification: Personal Emergency Response Attendant - 146D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 914 PINE STREET
    MOUNT SHASTA, CA
    ZIP 96067
  • Phone: (530) 926-6111

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NPI Details

Jack Warren Saunders, MD is a personal emergency response attendant in Mount Shasta, CA. The provider is 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. Jack Warren Saunders, MD NPI is 1477564078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

914 PINE STREET
MOUNT SHASTA, CA
ZIP 96067-143
Phone: (530) 926-6111

The NPI 1477564078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineG32096CALIFORNIANo
2146D00000XPersonal Emergency Response AttendantG32096CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G320963MEDICARE PINCALIFORNIA
2A45003MEDICARE UPINCALIFORNIA
300G320960MEDICAIDCALIFORNIA
400G320962MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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