Organization Active NPI

Ehsan Sultani

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1790135705
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EHSAN SULTANI
Practice address
2211 Park Towne Cir
Sacramento, CA 95825-0414
Phone
(916) 333-5977
Fax
(916) 333-5972
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Ehsan Sultani, MD
Title
Owner
Phone
(916) 333-5977

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X

Addresses

Primary practice location

2211 Park Towne Cir
Sacramento, CA 95825-0414

Mailing address

2211 Park Towne Cir
Sacramento, CA 95825-0414
Phone (916) 333-5977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1790135705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PARK TOWNE CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250414",
            "telephone_number": "916-333-5977",
            "fax_number": "916-333-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PARK TOWNE CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250414",
            "telephone_number": "916-333-5977",
            "fax_number": "916-333-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSAN SULTANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SULTANI",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-333-5977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.