Satya Visalakshi Tata, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A98273 Issued in CA

Practice address

15373 Innovation Dr Ste 395
San Diego, CA 92128-3429

Phone

(588) 876-3150

Fax

(866) 764-5413

NPI assigned

Mar 29, 2007

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Satya Visalakshi Akella Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Psychiatric Centers at San Diego, Inc. Med GRP

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1841241585
  Medicare reassignment
• Mark David Levine, MD Burlingame PC

  dba Community Psychiatry Associates

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD (past)
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1497158604
  NPD (past)
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1538221403
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1518086404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR STE 166566",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "588-876-3150",
            "fax_number": "866-764-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 395",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283429",
            "telephone_number": "588-876-3150",
            "fax_number": "866-764-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Hotel Cir N",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921082901",
            "country_code": "US",
            "telephone_number": "619-528-4600",
            "fax_number": "619-528-4625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Santa Clara Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613500",
            "country_code": "US",
            "telephone_number": "408-364-7052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 Martin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945348610",
            "country_code": "US",
            "telephone_number": "408-364-7052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 N Fresno St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105280",
            "country_code": "US",
            "telephone_number": "559-907-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 N Fresno St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105280",
            "country_code": "US",
            "telephone_number": "559-907-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6051 N Fresno St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105280",
            "country_code": "US",
            "telephone_number": "559-907-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATA",
        "first_name": "SATYA",
        "middle_name": "VISALAKSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A98273",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A98273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "officeadmin@orchidhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "15373 Innovation Dr Ste 395",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921283429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SATYA",
            "last_name": "AKELLA",
            "middle_name": "VISALAKSHI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasto and Tasto Partnership (Torrey Hills Dental)
• Brian Christopher Tasto, D.D.S.
• James P. Tasto, M.D.
• James Patrick Tasto, D.D.S.
• Jessica Ann Yoong Tasto, O.D.
• Elizabeth V Tate
• Mallory Shurte Tate, MD
• Shemeka Tate
• Susan Ray Tate, PH.D.
• Tyra Tate

• Child & Adolescent Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.