Organization Active NPI

Sepideh Saber MD Inc

  • Plastic and Reconstructive Surgery Physician
  • Encino, CA
National Provider Identifier
1063057230
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
SEPIDEH SABER MD INC
Practice address
16542 Ventura Blvd Ste 302
Encino, CA 91436-5030
Phone
(818) 770-7050
Fax
(818) 770-7050
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Sepideh Saber, MDNPI 1285917047
Title
Owner
Phone
(818) 770-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

16542 Ventura Blvd Ste 302
Encino, CA 91436-5030

Mailing address

16542 Ventura Blvd Ste 302
Encino, CA 91436-5030
Phone (818) 770-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529001514 CA Part B Supplier - Clinic/Group Practice 3779904776 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

16542 Ventura Blvd
Ste 302
Encino, CA 91436
Phone (818) 461-9070

1500 E Chevy Chase Dr
Ste 100
Glendale, CA 91206
Phone (818) 863-4225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1063057230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365030",
            "telephone_number": "818-770-7050",
            "fax_number": "818-770-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 302",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365030",
            "telephone_number": "818-770-7050",
            "fax_number": "818-770-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPIDEH SABER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SABER",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-770-7050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.