Active NPI
Ahimsa P Sumchai, MD
- Sports Medicine (Emergency Medicine) Physician
- Sacramento, CA
National Provider Identifier
1952570319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- G48983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GROO49770 | Medicaid | CA |
Other names 1
- Dr. Ahimsa Porter Sumchai
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48983 | CA | MD | Sports 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.