Mimi Saadat, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT11203 Issued in CA

Practice address

1125 E 17TH St Ste E213
Santa Ana, CA 92701-2219

Phone

(714) 543-5005

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Pacific Medical College, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 4-110 Inc.

  • Specialist
  • Santa Ana, CA
  • NPI 1538191838
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1073709242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E213",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012219",
            "telephone_number": "714-543-9788",
            "fax_number": "714-543-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E213",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012219",
            "telephone_number": "714-543-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADAT",
        "first_name": "MIMI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT11203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S. Myron Goldstein MD Facs Inc
• S.a.G.E. Holistic Health & Wellness Center
• S.a.G.E. Holistic Individual, Marriage & Family Therapy Professional C
• Sa Medical Center Inc.
• Carlos Saad, MD
• Arthur Vincent Saavedra
• Evelyn Saavedra
• Kelly Kathleen Sabet, LCSW
• Angelica Sabiano, LCSW
• Sophia Sable

• Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.