Healthcare Provider Details

I. General information

NPI: 1508787680
Provider Name (Legal Business Name): SJT VENTURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PARK PLZ STE 1520
IRVINE CA
92614-2566
US

IV. Provider business mailing address

17595 HARVARD AVE STE C #3350
IRVINE CA
92614-8522
US

V. Phone/Fax

Practice location:
  • Phone: 888-589-3272
  • Fax: 805-265-5043
Mailing address:
  • Phone: 888-589-3272
  • Fax: 805-265-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SANJAI THANKACHEN
Title or Position: OWNER
Credential: MD
Phone: 714-782-4700