NPIMap

Individual provider Active NPI

Saadah Alrajab, MD

  • Pulmonary Disease Physician
  • Fullerton, CA
National Provider Identifier
1023050135
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A89139 Issued in CA
Practice address
2501 E Chapman Ave Ste 225
Fullerton, CA 92831-3187
Phone
(714) 481-0172
Fax
(562) 445-4140
NPI assigned
Jun 12, 2006
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A89139 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A89139 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A89139 CA
Pulmonary Disease Physician 207RP1001X A89139 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave Ste 225
Fullerton, CA 92831-3187

Mailing address

2501 E Chapman Ave
Suite 225
Fullerton, CA 92831
Phone (714) 481-0172

Other identifiers 1

IdentifierTypeStateIssuer
00A891390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000552 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Geriatric MedicinePractitioner - Other (Physician) 6305844226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saadah Alrajab MD MPH IncGroup PAC ID 2062642143, 3 clinicians

Practice addresses (Care Compare)

14900 Imperial Hwy
La Mirada, CA 90638-2172
Phone (562) 944-1900

2501 E Chapman Ave
Suite 225
Fullerton, CA 92831-3187
Phone (714) 481-0172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89139CAMDPulmonary Disease Physician
89139CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
WK Pierremont Hospitalists PastSince Jan 31, 2005 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1023050135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "address_2": "SUITE 225",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-481-0172",
            "fax_number": "562-445-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 225",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313187",
            "telephone_number": "714-481-0172",
            "fax_number": "562-445-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRAJAB",
        "first_name": "SAADAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89139",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A89139",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A89139",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A89139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A891390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.