Sanjai Thankachen
JASON KELLOGG MD INC


Address: 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331
Phone: 5592378377

Sanjai Thankachen (NPI# 1982751756, PAC ID# 9931259488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050744 ANAHEIM GLOBAL MEDICAL CENTER
050776 COLLEGE MEDICAL CENTER

Other Locations

Address Phone Organization
1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 5592378377 JASON KELLOGG MD INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name JASON KELLOGG MD INC
Physicians 9

Physicians with the same organization

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

Office Location

Street Address 1715 S CEDAR AVE
ASFC LLC
City FRESNO
State CA
Zip 93702-4331

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City FRESNO
Zip Code 93702
Specialty PSYCHIATRY
City + Specialty FRESNO + PSYCHIATRY

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Dataset Information

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.

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