Active NPI
Insat Telemed Corporation a Professional Corporation
- Nephrology Physician
- Crescent City, CA
National Provider Identifier
1629784152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- INSAT TELEMED CORPORATION A PROFESSIONAL CORPORATION
- Practice address
- 800 E Washington Blvd
Crescent City, CA 95531-8359 - Phone
- (877) 511-8777
- Fax
- (877) 402-4999
- NPI assigned
- Jan 27, 2023
- 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
- Satpreet Singh Sekhon, MD
- Title
- Co-Owner
- Phone
- (877) 511-8777
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
800 E Washington Blvd
Crescent City, CA 95531-8359
Mailing address
4120 Douglas Blvd Ste 306
Granite Bay, CA 95746-5936
Phone (877) 511-8777
Other practice location 1
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (877) 511-8777
Other names 1
- Insat Telemed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230719002674 | CA | Part B Supplier - Clinic/Group Practice | 8527428796 |
Receives reassigned benefits from 2 practitioners Practice locations: Crescent City, CA; Lakeport, CA; Sonora, CA |
| O20231005001549 | WA | Part B Supplier - Clinic/Group Practice | 8527428796 |
Receives reassigned benefits from 2 practitioners Practice locations: Ellensburg, WA |
National Provider Directory
National Provider DirectoryLocations
4120 Douglas Blvd
Ste 306
Granite Bay, CA 95746
Practitioners & affiliated clinicians
Practitioners 2
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": "1674777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1629784152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 DOUGLAS BLVD STE 306",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465936",
"telephone_number": "877-511-8777",
"fax_number": "877-402-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E WASHINGTON BLVD",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955318359",
"telephone_number": "877-511-8777",
"fax_number": "877-402-4999"
}
],
"practiceLocations": [
{
"address_1": "603 S Chestnut St",
"address_purpose": "LOCATION",
"city": "Ellensburg",
"state": "WA",
"postal_code": "989263875",
"country_code": "US",
"telephone_number": "877-511-8777",
"fax_number": "877-402-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INSAT TELEMED CORPORATION A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-27",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "SEKHON",
"authorized_official_first_name": "SATPREET",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "877-511-8777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Insat Telemed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.