Active NPI
Sapna Purawat, MD
- Psychiatry Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C160805
- Practice address
- 2505 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 524-1211
- Fax
- (209) 491-7584
- NPI assigned
- May 16, 2008
- Last updated
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | GETP.TUL.P | LA | |
| Psychiatry Physician | 2084P0800X | C160805 | CA | Primary |
Addresses
Primary practice location
2505 W Hammer LN
Stockton, CA 95209-2839
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (855) 771-0335
Other practice location 1
1035 calhoun strret
Lsu Behaviourial Health
New Orleans, LA 70115
Phone (504) 894-3550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022900 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1811 Grand Canal Blvd
Suite 3
Stockton, CA 95207-8107
Phone (209) 800-1718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67022 | CA | MD | Pharmacist |
| GETP.TUL.P | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Behavioral Health Services | Current | Accepting new patients | |
| San Joaquin County Behavioral Health Services | Current | Accepting new patients | |
| Regional West Physicians Clinic | Psychiatry | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Mind Body Medicine Inc | Psychiatry | Current | Accepting new patients |
| Regional West Medical Center | Past | Accepting new patients |
Locations
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
1811 Grand Canal Blvd
Ste 3
Stockton, CA 95207
Phone (209) 800-1718
2505 W Hammer Ln
Stockton, CA 95209
Phone (209) 954-3370
2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
Interoperability endpoints
- sapna.purawat.1@19854.direct.athenahealth.com
- spurawat456715@hisp.ehr.sutterhealth.org
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Stockton, CA
- NPI 1871278754
-
dba San Joaquin County Behavioral Health Services
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
CA, Psychiatry
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba San Joaquin County MH Services Tracy Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tracy, CA
- NPI 1306051370
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Psychiatric Hospital Unit
- Scottsbluff, NE
- NPI 1871606137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1437316668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "855-771-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092839",
"telephone_number": "209-524-1211",
"fax_number": "209-491-7584"
}
],
"practiceLocations": [
{
"address_1": "1035 calhoun strret",
"address_2": "Lsu Behaviourial Health",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70115",
"country_code": "US",
"telephone_number": "504-894-3550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURAWAT",
"first_name": "SAPNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "GETP.TUL.P",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C160805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022900",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.