Dr Sanjai Mathew Thankachen, MD | |
17782 Cowan Ste A, Irvine, CA 92614-6041 | |
(949) 340-2111 | |
(949) 722-7119 |
Full Name | Dr Sanjai Mathew Thankachen |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17782 Cowan Ste A, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982751756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A 103818 (California) | Primary |
Entity Name | Jason Kellogg Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131 |
Entity Name | Serene Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649809526 PECOS PAC ID: 0244652139 Enrollment ID: O20200623001361 |
Entity Name | Inland Empire Tms |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437720802 PECOS PAC ID: 6800293747 Enrollment ID: O20210921000509 |
Mailing Address | Practice Location Address |
---|---|
Dr Sanjai Mathew Thankachen, MD 1048 Irvine Ave # 1056, Newport Beach, CA 92660-4602 Ph: (949) 340-2111 | Dr Sanjai Mathew Thankachen, MD 17782 Cowan Ste A, Irvine, CA 92614-6041 Ph: (949) 340-2111 |
Dr. Kort Christopher Ulicny, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 139 Tenor, Irvine, CA 92618 Phone: 949-339-7299 Fax: 949-946-6763 | |
Amy Blood, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19712 Macarthur Blvd Ste 110, Irvine, CA 92612 Phone: 949-773-9207 Fax: 618-202-2024 | |
Dr. Amelia Angela Russo-neustadt, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Pacifica, Suite 160, Irvine, CA 92618 Phone: 949-453-8805 | |
Dr. Ravindra R Chand, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 22 Odyssey Suite 240, Pacific Neuropsychiatry And Sleep, Irvine, CA 92618 Phone: 949-207-3797 Fax: 949-207-3799 | |
Tuong Nguyen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5 Flora Spgs, Irvine, CA 92602 Phone: 714-935-6363 Fax: 714-935-8112 | |
Harold Louis Boerlin Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 15615 Alton Pkwy, Suite 220, Irvine, CA 92618 Phone: 949-753-1143 Fax: 949-249-6601 | |
Emily Mills Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6 Venture, Ste 350, Irvine, CA 92618 Phone: 949-753-8800 Fax: 949-753-8899 |