Healthcare Provider Details

I. General information

NPI: 1457256463
Provider Name (Legal Business Name): SJT VENTURES CO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

IV. Provider business mailing address

17595 HARVARD AVE STE C
IRVINE CA
92614-8522
US

V. Phone/Fax

Practice location:
  • Phone: 949-933-6412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SANJAI THANKACHEN
Title or Position: CEO
Credential: MD
Phone: 949-933-6412