Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366615148 Deactivated / Inactive NPI Female Practitioner

Sandra June Graham

Driver • Redding, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sandra Graham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2008
NPI Deactivation Date May 02, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Sandra Graham was a registered Driver practicing in Redding, CA. Throughout an active medical career spanning 9 years, Sandra Graham provided care at the practice location at 2640 BRESLAUER WAY until profile deactivation on 2017-05-02.

Practice Location & Contact Primary Location

Practice Address

2640 Breslauer Way

Redding, CA 960014246

Telephone 5302255233
Associated Practice Facility / Clinic
🏢 County Of Shasta Facility NPI 1881692390

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Redding, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Redding, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Libby Jensen-Mirande

Case Manager/Care Coordinator

NPI 1053617548
Lesley Choate , RN

Registered Nurse

NPI 1073899837

Registered Nurse

Lisa Mcculley , RN

Registered Nurse

NPI 1255618872

Registered Nurse

Daretta Wilson

Registered Nurse

NPI 1437455649
Jest Syvirathphan

Case Manager/Care Coordinator

NPI 1659657401
Kenneth Clark , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1942344031

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 02, 2017

Record deactivated on May 02, 2017

NPI Profile Active April 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2008

Registered at 2640 BRESLAUER WAY, REDDING, CA 960014246 (Tel: 5302255233)

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Updated Business Mailing Address April 11, 2008

Registered at 2640 BRESLAUER WAY, REDDING, CA 960014246

👤
Provider Name / Credentials Updated April 11, 2008

Recorded as SANDRA GRAHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2008

Driver

🟢
Initial NPI Registration & Enumeration April 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366615148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2008
Last Update: April 11, 2008
Deactivation Date: May 02, 2017

Mailing Address

2640 Breslauer Way

Redding, CA 960014246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.