Active NPI
Shankarlingam Sainath, M.D., F.A.C.C.
- Cardiovascular Disease Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A25691
- Practice address
- 11100 Warner Ave
#268
Fountain Valley, CA 92708-7512 - Phone
- (714) 540-9911
- Fax
- (714) 549-9720
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A25691 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A25691 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave
#268
Fountain Valley, CA 92708-7512
Mailing address
11100 Warner Ave
#268
Fountain Valley, CA 92708-7512
Phone (714) 540-9911
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W1608 | Other | MEDICARE GROUP PTAN NUMBER | |
| 1912029901 | Other | GROUP NPI NUMBER | |
| A25691 | Other | CA | STATE ID# |
| WA25691E | Other | CA | MEDICARE PTAN |
| ZZZ71176Z | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Warner Ave
Suite 268
Fountain Valley, CA 92708-7512
Phone (714) 540-9911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25691 | CA | MD | Cardiovascular Disease Physician |
| 25691 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain Valley Cardiology Medical Clinic Inc. | Cardiovascular Disease | Current | Accepting new patients |
Locations
11100 Warner Ave
Ste 268
Fountain Vly, CA 92708
Phone (714) 540-9911
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Fountain Valley, CA
- NPI 1912029901
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1811050081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "#268",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087512",
"telephone_number": "714-540-9911",
"fax_number": "714-549-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "#268",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087512",
"telephone_number": "714-540-9911",
"fax_number": "714-549-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINATH",
"first_name": "SHANKARLINGAM",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A25691",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A25691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN NUMBER",
"identifier": "W1608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1912029901",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID#",
"identifier": "A25691",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "WA25691E",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ71176Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.