Individual provider Active NPI

Akilesh Palanisamy, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1114009230
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91569 Issued in CA
Practice address
2300 California St
#103
San Francisco, CA 94115-2753
Phone
(415) 600-3503
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A91569 CA Primary

Addresses

Primary practice location

2300 California St
#103
San Francisco, CA 94115-2753

Mailing address

2300 California St
Suite 103
San Francisco, CA 94115-2753
Phone (415) 600-3503

Other identifiers 1

IdentifierTypeStateIssuer
00A915690MedicaidCA

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
I20061117000261 CA Practitioner - Family Practice 5092713537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1020 29TH St
Sacramento, CA 95816-5125

2800 L St
Sacramento, CA 95816-5616

2801 K St
Sacramento, CA 95816-5118

2801 K St
Suite 240
Sacramento, CA 95816-5170
Phone (916) 732-7777

8 Medical Plaza Dr
Roseville, CA 95661-3106
Phone (916) 782-5106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91569CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jul 6, 2020 Accepting new patients
El Camino Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2801 K St
Ste 502
Sacramento, CA 95816
Phone (877) 515-0053

Interoperability endpoints

  • Direct secure messaging: apalanisamy41918@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1114009230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CALIFORNIA ST",
            "address_2": "SUITE 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152753",
            "telephone_number": "415-600-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CALIFORNIA ST",
            "address_2": "#103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152753",
            "telephone_number": "415-600-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANISAMY",
        "first_name": "AKILESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A915690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.