Individual provider Active NPI

Sarah Kalliath, DO

  • Family Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1477948313
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19154 Issued in CA
Practice address
365 Oyster Point Blvd Ste 300
South San Francisco, CA 94080-1974
Phone
(844) 352-6567
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19154 CA Primary
Family Medicine Physician 207Q00000X 009195 AZ

Addresses

Primary practice location

365 Oyster Point Blvd Ste 300
South San Francisco, CA 94080-1974

Mailing address

365 Oyster Point Blvd Ste 300-3B
South San Francisco, CA 94080-1974

Other identifiers 1

IdentifierTypeStateIssuer
T3500OtherTXTEXAS STATE MEDICAL BOARD

Other names 1

  • Sarah Krishnan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001240 IL Practitioner - Family Practice 2264793728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036144409ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. CurrentSince Aug 6, 2018 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 6, 2018 Accepting new patients

Locations

5215 N California Ave
Ste 602
Chicago, IL 60625
Phone (773) 293-8824

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1477948313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 OYSTER POINT BLVD STE 300-3B",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 OYSTER POINT BLVD STE 300",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801974",
            "telephone_number": "844-352-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIATH",
        "first_name": "SARAH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19154",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "009195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE MEDICAL BOARD",
            "identifier": "T3500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KRISHNAN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.