Individual provider Active NPI

Mohamad M Saijari, LSA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1073738043
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00092 Issued in TX
Practice address
5090 Richmond Ave Ste 101
Houston, TX 77056-7402
Phone
(281) 653-2924
Fax
(832) 478-9266
NPI assigned
Apr 16, 2007
Last updated
May 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X SA00092 TX Primary

Addresses

Primary practice location

5090 Richmond Ave Ste 101
Houston, TX 77056-7402

Mailing address

5090 Richmond Ave Ste 101
Houston, TX 77056-7402
Phone (281) 653-2924

Other identifiers 2

IdentifierTypeStateIssuer
SA00092OtherTXLICENSE SURGICAL ASSISTANT
00000072JROtherTXBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
SA00092TXMDSurgical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1073738043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 RICHMOND AVE STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567402",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 RICHMOND AVE STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567402",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIJARI",
        "first_name": "MOHAMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SURGICAL ASSISTANT",
            "identifier": "SA00092",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00000072JR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.