Individual provider Active NPI

Sapna Purawat, MD

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1437316668
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C160805 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1022900MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121016000342 NE Practitioner - Psychiatry 3375793045 Reassigns benefits to 1 organization
I20191127002539 CA Practitioner - Psychiatry 3375793045 Reassigns benefits to 4 organizations

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
Mind Body Medicine IncGroup PAC ID 2264893197, 2 clinicians

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

LicenseStateTypeSpecialty
67022CAMDPharmacist
GETP.TUL.PLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Current Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Sep 15, 2024 Accepting new patients
Regional West Physicians Clinic Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
County of San Joaquin CurrentSince Sep 15, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2019 Accepting new patients
Mind Body Medicine Inc Psychiatry CurrentSince Jun 23, 2023 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

  • Direct secure messaging: sapna.purawat.1@19854.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.