Individual provider Active NPI

Saranya Sasidharan, M.D.

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1780020123
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C173865 Issued in CA
Practice address
155 N Fresno Street
Department of Gastroenterology
Fresno, CA 93701
Phone
(559) 499-6500
Fax
(617) 667-8098
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C173865 CA Primary
Internal Medicine Physician 207R00000X 256204 MA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

155 N Fresno Street
Department of Gastroenterology
Fresno, CA 93701

Mailing address

155 N Fresno Street
Fresno, CA 93701
Phone (559) 499-6500

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
I20250723001843 CA Practitioner - Gastroenterology 4183856941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Geisel School of Medicine at Dartmouth, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

700 W Parr Ave
Suite a
Los Gatos, CA 95032-1416
Phone (408) 871-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256204MAMDInternal Medicine Physician
C173865CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Sep 1, 2025 Accepting new patients
El Camino Health Medical Group PastSince Sep 8, 2019 Accepting new patients

Locations

973 University Ave
Los Gatos, CA 95032
Phone (408) 278-3003

700 W Parr Ave
Ste A
Los Gatos, CA 95032
Phone (408) 356-3178

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2495 Hospital Dr
Ste 460
Mountain View, CA 94040
Phone (650) 962-4370

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

Organizations & group practices 2

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 4

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1780020123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N FRESNO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-499-6500",
            "fax_number": "617-638-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N FRESNO STREET",
            "address_2": "DEPARTMENT OF GASTROENTEROLOGY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-499-6500",
            "fax_number": "617-667-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASIDHARAN",
        "first_name": "SARANYA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C173865",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "256204",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.