Organization Active NPI

Sanjay Srivatsa MD Inc

  • Cardiovascular Disease Physician
  • Fresno, CA
National Provider Identifier
1760825871
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C51203 Issued in CA
Legal business name
SANJAY SRIVATSA MD INC
Practice address
222 W Shaw Ave
Fresno, CA 93704-2644
Phone
(805) 459-6089
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Dr. Sanjay S Srivatsa, MDNPI 1588603369
Title
Physician
Phone
(559) 224-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X C51203 CA Primary

Addresses

Primary practice location

222 W Shaw Ave
Fresno, CA 93704-2644

Mailing address

222 W Shaw Ave
Fresno, CA 93704-2644
Phone (805) 459-6089

Other identifiers 1

IdentifierTypeStateIssuer
1588603369OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131230001495 CA Part B Supplier - Clinic/Group Practice 9234366907 Receives reassigned benefits from 1 practitioner
Practice locations: Madera, CA; Fresno, CA

National Provider Directory

National Provider Directory

Locations

222 W Shaw Ave
Fresno, CA 93704
Phone (559) 222-9200

7206 N Milburn Ave
Ste 105
Fresno, CA 93722
Phone (559) 224-5003

7210 N Milburn Ave
Ste 101
Fresno, CA 93722
Phone (510) 550-7577

Practitioners & affiliated clinicians

Practitioners 3

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": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1760825871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042644",
            "telephone_number": "805-459-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042644",
            "telephone_number": "805-459-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY SRIVATSA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "SRIVATSA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-224-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C51203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588603369",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.

Verify at the official NPI Registry.