Individual provider Active NPI

Sanjoy Sathpathy, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1043348428
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A80195 Issued in CA
Practice address
9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515
Phone
(858) 935-9104
Fax
(858) 935-9103
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A80195 CA Primary

Addresses

Primary practice location

9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515

Mailing address

2695 S 4TH St
El Centro, CA 92243-6012

Other practice location 1

7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone (858) 935-9104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000980 CA Practitioner - Psychiatry 9335126523 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80195CAMDPharmacist
A80195CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Nov 1, 2014 Accepting new patients
County of Imperial CurrentSince Nov 12, 2019 Accepting new patients

Locations

202 N 8th St
El Centro, CA 92243
Phone (442) 265-1570

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

7850 Vista Hill Ave
San Diego, CA 92123
Phone (858) 836-8434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1043348428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 S 4TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922436012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARROLL CENTRE RD STE 218",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264515",
            "telephone_number": "858-935-9104",
            "fax_number": "858-935-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7850 Vista Hill Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232717",
            "country_code": "US",
            "telephone_number": "858-935-9104",
            "fax_number": "858-935-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATHPATHY",
        "first_name": "SANJOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A80195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.