Sanjai Thankachen (NPI# 1982751756, PAC ID# 9931259488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1982751756 |
PAC ID by PECOS | 9931259488 |
Professional Enrollment ID | I20090604000273 |
Full Name | Sanjai Thankachen |
Organization Legal Name | JASON KELLOGG MD INC |
Address |
1715 S Cedar Ave Asfc LLC Fresno CA 93702-4331 |
Phone Number | 5592378377 |
Gender | M |
Graduation Year | 2000 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 9032266127 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050744 | ANAHEIM GLOBAL MEDICAL CENTER |
050776 | COLLEGE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 | 5592378377 | JASON KELLOGG MD INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | JASON KELLOGG MD INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diana Radakovic | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Randall G Turner | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Michael Frazier | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Dylan Thomas Guiney | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
Logan Jensen | Physician Assistant | Jason Kellogg Md Inc | 1501 E 16th St, Newport Beach, CA 92663-5924 |
Natalya Godes | Clinical Psychologist | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Dana Lynn Lambrose | Nurse Practitioner | Jason Kellogg Md Inc | 275 Victoria St, Costa Mesa, CA 92627-1906 |
Jessica E Connor | Clinical Social Worker | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Street Address |
1715 S CEDAR AVE ASFC LLC |
City | FRESNO |
State | CA |
Zip | 93702-4331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randall G Turner | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Jennifer G Tarazon | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
Michael Frazier | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Armen H Bedrosian | Internal Medicine | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
Gurvinder Kaur | Internal Medicine | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
Julio Garibay | Nurse Practitioner | California Emergency Physicians Medical Group A Professional Corp | 1715 S Cedar Ave, Fresno, CA 93702-4331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hipolito G Mariano Jr. | Family Medicine | 3121 E Olive Ave, Suite 1, Fresno, CA 93702-1030 | |
Hing B Luong | Internal Medicine | 3240 E Olive Ave, Fresno, CA 93702-1033 | |
Salvador A Gonzalez | Family Medicine | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
Ryan C Johnson | Obstetrics/gynecology | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
Mark A Pinto | Internal Medicine | Clinica Sierra Vista | 1350 S Orange Ave, Fresno, CA 93702-3463 |
Pukan Phaoudom | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
Lois E Ratzlaff | Clinical Social Worker | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
Patricia A Santy | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
Maria Myra L Mallada | Nurse Practitioner | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
Maria Szpyt Domanska | Psychiatry | County of Fresno | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 |
Find all physicians in zip 93702 |
City | FRESNO |
Zip Code | 93702 |
Specialty | PSYCHIATRY |
City + Specialty | FRESNO + PSYCHIATRY |
Please comment or provide details below to improve the information on Sanjai Thankachen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.