Individual provider Active NPI

Shankarlingam Sainath, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1811050081
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A25691 Issued in CA
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

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W1608OtherMEDICARE GROUP PTAN NUMBER
1912029901OtherGROUP NPI NUMBER
A25691OtherCASTATE ID#
WA25691EOtherCAMEDICARE PTAN
ZZZ71176ZMedicaidCA

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
I20120329000643 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 1951561893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountain Valley Cardiology Medical Clinic IncGroup PAC ID 6103854088, 2 clinicians

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

LicenseStateTypeSpecialty
A25691CAMDCardiovascular Disease Physician
25691CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Cardiology Medical Clinic Inc. Cardiovascular Disease CurrentSince Oct 29, 1973 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.