Prema V Sanne, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C161449 Issued in CA

Practice address

1925 E Dakota Ave
Fresno, CA 93726-4821

Phone

(559) 600-9171

NPI assigned

Nov 16, 2005

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, NC, NE, AL, WI, IL, MN, WV, KY9 enrollments

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 9

Merit-based Incentive Payment System (MIPS)

Final score

88.91 of 100Reported as group

Quality

88.07

Promoting interoperability

100

Improvement activities

40

Cost

74.95

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: premasanne@tdh.allscriptsdirect.net

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.

• Department of Behavioral Health and Developmental Disabilities

  dba Central State Hospital

  • Psychiatric Hospital
  • Milledgeville, GA
  • NPI 1902030307
  Medicare reassignment NPD
• Evizzit of Iowa Psychiatry PC

  dba Integrated Telehealth Partners

  • Psychiatry Physician
  • West Des Moines, IA
  • NPI 1740841188

  AL, IL, KY, MN, NE, WI, WV

  Medicare reassignment NPD
• Department of Behavioral Health & Developmental Disabilities

  dba Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD
• Department of Behavioral Health & Developmental Disabilities, Ga

  dba Southwest Community Clinic

  • Neurology Physician
  • Thomasville, GA
  • NPI 1174942684
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD
• Evizzit of Iowa Psychiatry PC

  • Adult Mental Health Clinic/Center
  • West Des Moines, IA
  • NPI 1679233183
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1982686838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 RIVER POINTE DR",
            "address_2": "1009",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317014763",
            "telephone_number": "229-869-0683",
            "fax_number": "229-889-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E DAKOTA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264821",
            "telephone_number": "559-600-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 W 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011917",
            "country_code": "US",
            "telephone_number": "229-889-7200",
            "fax_number": "229-889-7393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNE",
        "first_name": "PREMA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "047941",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C161449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973343B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.