Physician Compare National (NPI:1811050081)

HEALTHCARE PROVIDER: SHANKARLINGAM SAINATH M.D., F.A.C.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811050081
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951561893
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120329000643
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SAINATH
	Individual professional last name
Provider First Name	SHANKARLINGAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1970
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PERIPHERAL VASCULAR DISEASE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIOVASCULAR DISEASE (CARDIOLOGY), PERIPHERAL VASCULAR DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6103854088
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11100 WARNER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 268
	Group Practice or individual's line 2 address
City	FOUNTAIN VALLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927087512
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7145409911
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050570
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y