Individual provider Active NPI

Jaroslaw P Sasanka, M.D.

  • Emergency Medicine Physician
  • Temecula, CA
National Provider Identifier
1497787964
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C52304 Issued in CA
Practice address
31685 Temecula Pkwy Ste B
Temecula, CA 92592-2872
Phone
(951) 302-5700
Fax
(951) 302-0555
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C52304 CA Primary

Addresses

Primary practice location

31685 Temecula Pkwy Ste B
Temecula, CA 92592-2872

Mailing address

31685 Temecula Pkwy Ste B
Temecula, CA 92592-2872
Phone (951) 302-5700

Other identifiers 1

IdentifierTypeStateIssuer
1497787964MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52304CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LH Emergency Medical Services PC Emergency Medicine Past Accepting new patients
Long Island Emergency Care PC Emergency Medicine Past Accepting new patients
New York Downtown Hospital FPP Emergency Medicine Past Accepting new patients
Howard Emergency Medicine Associates PA. Emergency Medicine Past Accepting new patients
South Beach Medical PC Past Accepting new patients
Lamar Emergency Group PA Emergency Medicine Past Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Emergency Medicine Past Accepting new patients

Organizations & group practices 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1497787964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31685 TEMECULA PKWY STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922872",
            "telephone_number": "951-302-5700",
            "fax_number": "951-302-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31685 TEMECULA PKWY STE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922872",
            "telephone_number": "951-302-5700",
            "fax_number": "951-302-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASANKA",
        "first_name": "JAROSLAW",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C52304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497787964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.