Organization Active NPI

Insat Telemed Corporation a Professional Corporation

  • Nephrology Physician
  • Crescent City, CA
National Provider Identifier
1629784152
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Satpreet Singh Sekhon, MDNPI 1093877417
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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.