Active NPI
Edna R Sayat, MD
- Pediatrics Physician
- Rancho Cucamonga, CA
National Provider Identifier
1013907757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C53302
- Practice address
- 7777 Milliken Ave Ste 360
Rancho Cucamonga, CA 91730-6782 - Phone
- (909) 944-7099
- Fax
- (909) 944-4865
- NPI assigned
- Oct 25, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C53302 | CA | Primary |
Addresses
Primary practice location
7777 Milliken Ave Ste 360
Rancho Cucamonga, CA 91730-6782
Mailing address
7777 Milliken Ave Ste 360
Rancho Cucamonga, CA 91730-6782
Phone (909) 944-7099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427610000 | Medicaid | ME | |
| 061279 | Other | ME | BLUE CROSS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53302 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1013907757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 MILLIKEN AVE STE 360",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306782",
"telephone_number": "909-944-7099",
"fax_number": "909-944-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 MILLIKEN AVE STE 360",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917306782",
"telephone_number": "909-944-7099",
"fax_number": "909-944-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYAT",
"first_name": "EDNA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C53302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427610000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "061279",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.