Individual provider Active NPI

Visant A. Sanathara, M.D.

  • Psychiatry Physician
  • Modesto, CA
National Provider Identifier
1760417661
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93891 Issued in CA
Practice address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone
(510) 900-3125
NPI assigned
Jul 11, 2006
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A93891 CA Primary

Addresses

Primary practice location

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 900-3125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000447 CA Practitioner - Psychiatry 1951305010 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93891CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino CurrentSince Jul 1, 2020 Accepting new patients
County of San Bernardino Current Accepting new patients
Pih Health Physicians CurrentSince Nov 15, 2021 Accepting new patients
Saint Agnes Medical Center CurrentSince Jan 25, 2025 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
County of San Bernardino CurrentSince Jul 1, 2020 Accepting new patients
Pih Health Physicians CurrentSince Nov 15, 2021 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Pih Health Physicians Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Jul 7, 2021 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 17, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients
Trinity Home Health Services CurrentSince Jan 25, 2025 Accepting new patients
Telecare Corporation Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vsanathara1269265@direct.llu.edu
  • Direct secure messaging: vsanathara195832@direct.ohsu.edu

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1760417661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "510-900-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "510-900-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANATHARA",
        "first_name": "VISANT",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.