DR. SANJAY BANSAL (NPI# 1346275484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346275484 |
| Entity Type | Individual |
| Full Name | DR. SANJAY BANSAL |
| Other Name | DR. JAY BANSAL |
| Credential | M.D. |
| Practice Address |
3540 Mendocino Avenue Suite 200 Santa Rosa CA 95403-3639 |
| Practice Telephone | 7075226200 |
| Practice Fax Number | 7075226215 |
| Mailing Telephone | 7075226200 |
| Mailing Fax Number | 7075226215 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G66178 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528394624 | Sanjay Bansal | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2009-10-23 |
| Street Address |
3540 MENDOCINO AVENUE SUITE 200 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1952670796 | Cole Phillip Stephens | Ophthalmology | 4711 Hillsboro Cir, Santa Rosa, CA 95405-8776 | 2011-12-23 |
| 1194024935 | John Lawrence Norris | Ophthalmology | 1415 Olivet Rd, Santa Rosa, CA 95401-3810 | 2011-03-18 |
| 1487785101 | Valerie Sondra Garden | Ophthalmology | 1140 Sonoma Avenue, Building 2a, Santa Rosa, CA 95405-4817 | 2007-03-07 |
| 1770509002 | Mark Edwin Jacobson | Ophthalmology | 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401-7139 | 2006-07-13 |
| 1003851809 | Alice Chiang | Ophthalmology | 1002 Mendocino Ave, Santa Rosa, CA 95401-4330 | 2006-06-17 |
| 1720042617 | David E. Ulmer | Ophthalmology | 990 Sonoma Ave, Ste 10, Santa Rosa, CA 95404-4802 | 2006-04-17 |
| 1972566842 | Brien A. Seeley | Ophthalmology | 4739 Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-04-10 |
| 1326010620 | James E Hunt | Ophthalmology | 1140 Sonoma Ave Ste 2, Santa Rosa, CA 95405-4817 | 2006-02-02 |
| 1114905494 | Kalane Jade Wong | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-01-05 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.