Individual provider Active NPI

Sanmukan Surulinathan

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1881780583
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A051078 Issued in CA
Practice address
9951 Horn Rd Ste B
Sacramento, CA 95827-1955
Phone
(916) 379-5876
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A051078 CA Primary

Addresses

Primary practice location

9951 Horn Rd Ste B
Sacramento, CA 95827-1955

Mailing address

18225 Hale Ave
Morgan Hill, CA 95037-3547
Phone (408) 762-7022

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
I20080711000306 CA Practitioner - Psychiatry 8628140340 Reassigns benefits to 4 organizations
Practice locations: Modesto, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A051078CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Luis Obispo CurrentSince May 25, 2021 Accepting new patients
County of Tulare CurrentSince May 1, 2021 Accepting new patients
Department of State Hospitals Current Accepting new patients
Mind Behavior Professional Nursing Corporation CurrentSince Jun 10, 2024 Accepting new patients
Department of State Hospitals CurrentSince Nov 10, 2022 Accepting new patients
County of Tulare CurrentSince May 1, 2021 Accepting new patients
County of San Luis Obispo CurrentSince May 25, 2021 Accepting new patients
Department of State Hospitals CurrentSince Nov 10, 2022 Accepting new patients
County of Tulare Current Accepting new patients
San Joaquin Valley Neonatal Medical Assocation Past Accepting new patients
Central Valley Neonatal Medical GRP Past Accepting new patients
Infusion and Clinical Services, Inc. Psychiatry Past Accepting new patients

Locations

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711

384 E Olive Ave
Ste 2
Turlock, CA 95380
Phone (209) 484-0702

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1881780583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18225 HALE AVE",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950373547",
            "telephone_number": "408-762-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 HORN RD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271955",
            "telephone_number": "916-379-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURULINATHAN",
        "first_name": "SANMUKAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A051078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.