Active NPI
Sasidharan Ponthenkandath, M.D.
- Neonatal-Perinatal Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 28183
- Practice address
- 3390 University Ave Ste 100
Riverside, CA 92501-3315 - Phone
- (844) 827-8000
- NPI assigned
- Jun 15, 2007
- Last updated
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 28183 | WI | Primary |
Addresses
Primary practice location
3390 University Ave Ste 100
Riverside, CA 92501-3315
Mailing address
3390 University Ave Ste 100
Riverside, CA 92501-3315
Phone (844) 827-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137-405-7 | Other | ECFMG | |
| 30783600 | Medicaid | WI | |
| 559798 | Other | WI | UHC |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 82.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28183 | WI | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Ucr Health - Psychiatry | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270
3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793
3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCR Health
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1215132790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTHENKANDATH",
"first_name": "SASIDHARAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WI",
"license": "28183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECFMG",
"identifier": "137-405-7",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30783600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "559798",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.