Individual provider Active NPI

Pushpasree Sajja, MD

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1811152895
Registry record updated Jul 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C53288 Issued in CA
Practice address
1054 Arbor Rd
#A
Menlo Park, CA 94025-5026
Phone
(303) 809-8983
Fax
(303) 845-9592
NPI assigned
Jul 19, 2008
Last updated
Jul 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2008

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 C53288 CA Primary
Internal Medicine Physician 207R00000X 36287 CO

Addresses

Primary practice location

1054 Arbor Rd
#A
Menlo Park, CA 94025-5026

Mailing address

1054 Arbor Rd
#A
Menlo Park, CA 94025-5026
Phone (303) 809-8983

Other names 1

  • Dr. Sree Sajja Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53288CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
C53288CAMDInternal Medicine Physician
36287COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care & Pulmonary Consultants, PC PastSince Jul 1, 2002 Accepting new patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216425600000",
    "number": "1811152895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 ARBOR RD",
            "address_2": "#A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255026",
            "telephone_number": "303-809-8983",
            "fax_number": "303-845-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 ARBOR RD",
            "address_2": "#A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255026",
            "telephone_number": "303-809-8983",
            "fax_number": "303-845-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJJA",
        "first_name": "PUSHPASREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2008-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C53288",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SREE",
            "last_name": "SAJJA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2008; 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.