Healthcare Provider Details

I. General information

NPI: 1073436762
Provider Name (Legal Business Name): SASHIKOE PSYCHIATRY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 WILLOW ST STE 503
SAN FRANCISCO CA
94109-7733
US

IV. Provider business mailing address

203 WILLOW ST STE 503
SAN FRANCISCO CA
94109-7733
US

V. Phone/Fax

Practice location:
  • Phone: 949-439-2768
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PARTH PAPAIYA
Title or Position: CHIEF FINANCIAL OFFICER, SECRETARY
Credential:
Phone: 949-439-2768