Individual provider Active NPI

Ahimsa P Sumchai, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1952570319
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
G48983 Issued in CA
Practice address
936 Enterprise Drive
Golden State MD Health & Wellness
Sacramento, CA 95825-3916
Phone
(916) 484-1200
Fax
(916) 484-1211
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X G48983 CA Primary

Addresses

Primary practice location

936 Enterprise Drive
Golden State MD Health & Wellness
Sacramento, CA 95825-3916

Mailing address

236 W Portal Ave # 563
San Francisco, CA 94127-1423
Phone (415) 859-5471

Other identifiers 1

IdentifierTypeStateIssuer
GROO49770MedicaidCA

Other names 1

  • Dr. Ahimsa Porter Sumchai Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48983CAMDSports Medicine (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1952570319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W PORTAL AVE # 563",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271423",
            "telephone_number": "415-859-5471",
            "fax_number": "415-952-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 ENTERPRISE DRIVE",
            "address_2": "GOLDEN STATE MD HEALTH & WELLNESS",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253916",
            "telephone_number": "916-484-1200",
            "fax_number": "916-484-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMCHAI",
        "first_name": "AHIMSA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "G48983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROO49770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHIMSA",
            "last_name": "SUMCHAI",
            "middle_name": "PORTER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.