Active NPI
Sah Telemedicine - California PC
- Geriatric Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1760256366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- Legal business name
- SAH TELEMEDICINE - CALIFORNIA PC
- Practice address
- 2108 N St Ste N
Sacramento, CA 95816-5712 - Phone
- (929) 998-3626
- NPI assigned
- Nov 14, 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
- Shannon Knox
- Title
- Biling Manager
- Phone
- (929) 297-0922
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Geriatric Psychiatry Physician | 2084P0805X | Primary |
Addresses
Primary practice location
2108 N St Ste N
Sacramento, CA 95816-5712
Mailing address
565 Plandome Rd # 169
Manhasset, NY 11030-1945
Phone (845) 475-8825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240612001978 | CA | Part B Supplier - Clinic/Group Practice | 3375085863 |
Receives reassigned benefits from 9 practitioners Practice locations: Sacramento, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
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": "1699920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1760256366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 PLANDOME RD # 169",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110301945",
"telephone_number": "845-475-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N ST STE N",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "929-998-3626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAH TELEMEDICINE - CALIFORNIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-14",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "KNOX",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "BILING MANAGER",
"authorized_official_telephone_number": "929-297-0922"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.