Active NPI
Prema Sai Medical, P.C.
- Internal Medicine Physician
- Coronado, CA
National Provider Identifier
1497029615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A92588
- Legal business name
- PREMA SAI MEDICAL, P.C.
- Practice address
- 250 Prospect PL Ste 220
Coronado, CA 92118-1943 - Phone
- (559) 593-6450
- Fax
- (619) 297-4490
- NPI assigned
- Mar 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanjay Rajpara, M.D.
- Title
- President
- Phone
- (559) 593-6450
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A92588 | CA | Primary |
Addresses
Primary practice location
250 Prospect PL Ste 220
Coronado, CA 92118-1943
Mailing address
PO Box 500225
San Diego, CA 92150-0225
Phone (559) 593-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120628000629 | CA | Part B Supplier - Clinic/Group Practice | 0143485946 |
Receives reassigned benefits from 9 practitioners Practice locations: San Diego, CA; Coronado, CA; La Mesa, CA; Poway, CA; Chula Vista, CA; El Cajon, CA |
National Provider Directory
National Provider DirectoryLocations
250 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450
Practitioners & affiliated clinicians
Practitioners 9
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": "1330992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1497029615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500225",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921500225",
"telephone_number": "559-593-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PROSPECT PL STE 220",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181943",
"telephone_number": "559-593-6450",
"fax_number": "619-297-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMA SAI MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-06",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "RAJPARA",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-593-6450",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A92588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.