NPIMap

Individual provider Active NPI

Prem Sahasranam, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Hanford, CA
National Provider Identifier
1720270820
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A91333 Issued in CA
Practice address
1524 W Lacey Blvd
Suite 201
Hanford, CA 93230-5965
Phone
(559) 410-7801
Fax
(559) 380-2406
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A91333 CA Primary

Addresses

Primary practice location

1524 W Lacey Blvd
Suite 201
Hanford, CA 93230-5965

Mailing address

PO Box 1669
Hanford, CA 93232-1669
Phone (559) 587-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000532 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 6305928656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

515 W Grangeville Blvd
Hanford, CA 93230-2861
Phone (559) 587-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.25 of 100Reported as individual
Quality
66.9
Improvement activities
40
Cost
74.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A91333CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Tutor Inc Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2020 Accepting new patients
Central Valley Endocrinology, a Professional Corporation Endocrinology, Diabetes & Metabolism CurrentSince Sep 5, 2007 Accepting new patients
My Diabetes Tutor Inc Current Accepting new patients
Reedley Community Hospital Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Reedley Community Hospital Past Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

515 W Grangeville Blvd
Hanford, CA 93230
Phone (559) 587-1100

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1524 W Lacey Blvd
Ste 201
Hanford, CA 93230
Phone (559) 587-1100

1041 Rose Ave
Selma, CA 93662
Phone (559) 856-6090

1124 N Chinowth St
#102
Visalia, CA 93291
Phone (559) 713-6869

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1720270820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321669",
            "telephone_number": "559-587-1100",
            "fax_number": "559-587-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-410-7801",
            "fax_number": "559-380-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHASRANAM",
        "first_name": "PREM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A91333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.