NPIMap

Organization Active NPI

Sanjai Thankachen PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Beach, CA
National Provider Identifier
1679003834
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANJAI THANKACHEN PA
Practice address
19900 Beach Blvd Ste H
Huntington Beach, CA 92648-3762
Phone
(877) 538-4133
NPI assigned
Jun 19, 2017
Last updated
Jun 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Dr. Sanjai Mathew Thankachen, MD
Title
Owner
Phone
(714) 782-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

19900 Beach Blvd Ste H
Huntington Beach, CA 92648-3762

Mailing address

4681 Oceanknoll Dr
Huntington Beach, CA 92649-6441
Phone (714) 782-4700

Other identifiers 1

IdentifierTypeStateIssuer
A103818OtherCASTATE LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1679003834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 OCEANKNOLL DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926496441",
            "telephone_number": "714-782-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 BEACH BLVD STE H",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483762",
            "telephone_number": "877-538-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAI THANKACHEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "THANKACHEN",
        "authorized_official_first_name": "SANJAI",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-782-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A103818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.