Intisab Sultan,a Medical Professional Corporation of California

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76962 Issued in CA

Legal business name

INTISAB SULTAN,A MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA

Practice address

2256 Dockery Ave Ste a
Selma, CA 93662-3806

Phone

(559) 891-0100

Fax

(559) 891-9000

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Intisab Sultan, M.D.NPI 1548362296

Title

Director

Phone

(559) 891-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Intisab Sultan, M.D.

  • Internal Medicine Physician
  • Selma, CA
  • NPI 1548362296
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650672000000",
    "number": "1114169380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 DOCKERY AVE STE A",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623806",
            "telephone_number": "559-891-0100",
            "fax_number": "559-891-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 DOCKERY AVE STE A",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623806",
            "telephone_number": "559-891-0100",
            "fax_number": "559-891-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTISAB SULTAN,A MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "INTISAB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-891-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A769620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paris Sandra Humphries, MD
• Bich Ngoc Huynh, DDS
• Hyun Y Lee DDS Inc
• Imgrx SJ Valley, Inc.
• Immediate Health Care
• Angela Duran Isaacs, RD
• Sandra Jean Isaak, NP
• Pamela Takako Iwasaki, M.D.
• J. Darrick Wells, MD, Inc
• Jason Jackson, MD

• Internal Medicine Physician in Selma, CA
• Providers in Selma, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.