NPIMap

Organization Active NPI

Paltm, Medical Corporation

  • Adult Medicine Physician
  • Sacramento, CA
National Provider Identifier
1194455402
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PALTM, MEDICAL CORPORATION
Practice address
3641 San Ysidro Way
Sacramento, CA 95864-2817
Phone
(916) 296-2194
NPI assigned
Jun 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Munish Kumar, MDNPI 1184798498
Title
Director
Phone
(916) 296-2194

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
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3641 San Ysidro Way
Sacramento, CA 95864-2817

Mailing address

3641 San Ysidro Way
Sacramento, CA 95864-2817
Phone (916) 296-2194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220729001053 CA Part B Supplier - Clinic/Group Practice 3971985516 Receives reassigned benefits from 11 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1194455402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SAN YSIDRO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642817",
            "telephone_number": "916-296-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 SAN YSIDRO WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642817",
            "telephone_number": "916-296-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALTM, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "MUNISH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-296-2194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.