Healthcare Provider Details

I. General information

NPI: 1093700528
Provider Name (Legal Business Name): JAMES SANDIDGE DUNN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11795 EDUCATION ST STE 222
AUBURN CA
95602-2469
US

IV. Provider business mailing address

11795 EDUCATION ST STE 222
AUBURN CA
95602-2469
US

V. Phone/Fax

Practice location:
  • Phone: 530-886-6660
  • Fax: 530-886-6656
Mailing address:
  • Phone: 530-886-6660
  • Fax: 530-886-6656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number84568
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA84568
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: