Alex Reza Daeisadeghi, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95024987 Issued in CA

Practice address

3941 J St Ste 260
Sacramento, CA 95819-3633

Phone

(916) 736-2323

Fax

(916) 736-0620

NPI assigned

Nov 15, 2019

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC, CA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Center Hospital, Placerville, CA, CCN 050254
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alex.daeisadeghi.1@21842.direct.athenahealth.com

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.

• Sierra Medical Partnership

  • Surgery Physician
  • Folsom, CA
  • NPI 1568015808
  Medicare reassignment Care Compare group NPD
• All Inclusive Medical Services Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Carmichael, CA
  • NPI 1952917635
  Medicare reassignment NPD
• All Inclusive Medical Services, Inc

  • Internal Medicine Physician
  • Carmichael, CA
  • NPI 1518369891
  Medicare reassignment NPD
• Sierra Medical Partnership

  • Surgery Physician
  • El Dorado Hills, CA
  • NPI 1801502679
  NPD
• James River Cardiology, LLC

  dba Colonial Heart

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1407157647
  NPD (past)

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

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1083259725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 J ST STE 260",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193633",
            "telephone_number": "916-736-2323",
            "fax_number": "916-736-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAEISADEGHI",
        "first_name": "ALEX",
        "middle_name": "REZA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11004683",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95024987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dacey
• Angela Dacumos, RN
• Emily Mintz Daddow, PT
• Samuel Daddow, RN
• Rosh Dado
• Malath Burai Daffaallah
• Daftinc and Stamos Inc
• Rachel Adjovi Dagbovie-Atsu, RDH
• Paul M Dagenais, M.D.
• Annalise Dagenbach

• Adult Health Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.