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INTISAB SULTAN,A MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA
NPI 1114169380
Internal Medicine in Selma, CA

Active since April 02, 2009CLIA 05D0997419 · Microscopy
2256 DOCKERY AVE STE A, SELMA, CA 93662(559) 891-0100(559) 891-9000 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intisab Sultan,a Medical Professional Corporation Of California NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTISAB SULTAN,A MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA (NPI 1114169380) is a healthcare organization registered as an internal medicine in Selma, California and active in the NPI registry since April 2009. The organization holds a CLIA Microscopy certificate valid through October 17, 2027 and lists Intisab Sultan, Director, as its authorized official.

NPPES Registry Identity

NPI1114169380
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTISAB SULTAN,A MEDICAL PROFESSIONAL CORPORATION OF CALIFORNIA
Location Address2256 DOCKERY AVE STE ASelma, CA 93662-3806
Mailing Address2256 Dockery Ave Ste ASelma, CA 93662-3806 · (559) 891-0100 · Fax (559) 891-9000
Phone(559) 891-0100
Fax(559) 891-9000
Organization SubpartNo
Authorized OfficialIntisab SultanDirector · (559) 891-0100
Enumeration DateApril 2, 2009
Last NPPES UpdateApril 23, 2022
NPPES CertifiedApril 23, 2022
✔ NPI 1114169380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A76962
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2256 DOCKERY AVE STE A, Selma, CA 93662
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Other Identifiers 1

Medicaid000A769620CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0997419

Intisab Sultan MD · Selma, CA
Active · expires Oct 17, 2027
CLIA Number05D0997419
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorIntisab Sultan MD
Laboratory Phone(559) 891-0100
Laboratory LocationIntisab Sultan MD2256 Dockery Ave Ste A, Selma, CA 93662
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intisab Sultan,a Medical Professional Corporation Of California's NPI number?

The NPI number for Intisab Sultan,a Medical Professional Corporation Of California is 1114169380. It was assigned to this organization in the NPPES registry on April 2, 2009.

Where is Intisab Sultan,a Medical Professional Corporation Of California located?

Intisab Sultan,a Medical Professional Corporation Of California is located at 2256 Dockery Ave Ste A, Selma, CA 93662. The listed phone number is (559) 891-0100.

What is Intisab Sultan,a Medical Professional Corporation Of California's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Intisab Sultan,a Medical Professional Corporation Of California hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0997419) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intisab Sultan,a Medical Professional Corporation Of California was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.