Active NPI
Thasneem Pineda Saifudeen
- Student in an Organized Health Care Education/Training Program
- San Diego, CA
National Provider Identifier
1033809132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 390200000X
- Practice address
- 2351 Cardinal LN
San Diego, CA 92123-3743 - Phone
- (858) 573-2227
- Fax
- (858) 496-2113
- NPI assigned
- May 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | 390200000X | CA | Primary |
Addresses
Primary practice location
2351 Cardinal LN
San Diego, CA 92123-3743
Mailing address
4463 Governor Dr
San Diego, CA 92122-3003
Phone (818) 307-2207
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1033809132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4463 GOVERNOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223003",
"telephone_number": "818-307-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 CARDINAL LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233743",
"telephone_number": "858-573-2227",
"fax_number": "858-496-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIFUDEEN",
"first_name": "THASNEEM",
"middle_name": "PINEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-22",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "390200000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.