Active NPI
William S Sastry, M.D.
- Psychiatry Physician
- Palo Alto, CA
National Provider Identifier
1699845859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A89301
- Practice address
- 2425 Park Blvd
Suite B-102
Palo Alto, CA 94306-1931 - Phone
- (650) 814-9064
- Fax
- (650) 561-4752
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | A89301 | CA | |
| Psychiatry Physician | 2084P0800X | A89301 | CA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | A89301 | CA | |
| Geriatric Psychiatry Physician | 2084P0805X | A89301 | CA |
Addresses
Primary practice location
2425 Park Blvd
Suite B-102
Palo Alto, CA 94306-1931
Mailing address
PO Box 50875
Palo Alto, CA 94303-0672
Phone (650) 814-9064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 24, 2016 through Aug 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89301 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1699845859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50875",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943030672",
"telephone_number": "650-814-9064",
"fax_number": "650-561-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 PARK BLVD",
"address_2": "SUITE B-102",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061931",
"telephone_number": "650-814-9064",
"fax_number": "650-561-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASTRY",
"first_name": "WILLIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A89301",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A89301",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A89301",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "A89301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.