NPIMap

Organization Active NPI

Sasaki Medical LLC

Doing business as Kai Shin Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Saint Paul, MN
National Provider Identifier
1043829625
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
SASAKI MEDICAL LLC
Doing business as
Kai Shin Clinic
Practice address
1919 University Ave W
St Paul, MN 55104
Phone
(651) 447-3755
Fax
(651) 444-8923
NPI assigned
Jul 29, 2020
Organization subpart
Yes
Parent organization
SASAKI MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Alana K Sasaki, MDNPI 1437440849
Title
Owner/Medical Director
Phone
(651) 447-3755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1919 University Ave W
St Paul, MN 55104

Mailing address

777 Raymond Ave
St Paul, MN 55114
Phone (651) 447-3755

Other names 1

  • Kai Shin Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sasaki Medical LLC2 organizations share this tax ID, including this one
Part of
Sasaki Medical LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7831 Glenroy Rd
Ste 145
Minneapolis, MN 55439

1919 University Ave W
Ste 100
Saint Paul, MN 55104
Phone (651) 266-7900

1919 University Ave W
Saint Paul, MN 55104
Phone (651) 266-7900

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1043829625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 RAYMOND AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-447-3755",
            "fax_number": "651-444-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY AVE W",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-447-3755",
            "fax_number": "651-444-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASAKI MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SASAKI MEDICAL LLC",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SASAKI",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "651-447-3755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kai Shin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.