Organization Active NPI

SNJ Capitol Corporation

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1952081606
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SNJ CAPITOL CORPORATION
Doing business as
Renewal and Growth Psychiatry
Practice address
7600 Hospital Dr Ste I
Sacramento, CA 95823-5406
Phone
(916) 290-7571
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Dr. Sanjiwan Boparai, MDNPI 1376700583
Title
Owner
Phone
(916) 290-7571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7600 Hospital Dr Ste I
Sacramento, CA 95823-5406

Mailing address

7600 Hospital Dr Ste I
Sacramento, CA 95823-5406
Phone (916) 290-7571

Other identifiers 1

IdentifierTypeStateIssuer
A119799OtherCASTATE LICENSE

Other names 1

  • Renewal and Growth Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828000587 CA Part B Supplier - Clinic/Group Practice 4486017290 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

7600 Hospital Dr
Ste I
Sacramento, CA 95823
Phone (630) 432-9862

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1952081606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR STE I",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-290-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HOSPITAL DR STE I",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235406",
            "telephone_number": "916-290-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNJ CAPITOL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BOPARAI",
        "authorized_official_first_name": "SANJIWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-290-7571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A119799",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewal and Growth Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.