Individual provider Active NPI

Dora T Akuetteh-Saforo, M.D, FAAFP

  • Family Medicine Physician
  • Oceanside, CA
National Provider Identifier
1083616783
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A061329 Issued in CA
Practice address
200 Mercy Circle
Naval Hospital Camp Pendleton
Oceanside, CA 92055-5191
Phone
(760) 725-7499
NPI assigned
Aug 11, 2005
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A061329 CA Primary

Addresses

Primary practice location

200 Mercy Circle
Naval Hospital Camp Pendleton
Oceanside, CA 92055-5191

Mailing address

310514 Stuart Mesa Rd
Camp Pendleton
Oceanside, CA 92055-5191
Phone (760) 725-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316002325 CA Practitioner - Family Practice 5294031217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61329CAMDPharmacist
A061329CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cassidy Medical Group Inc. Current Accepting new patients
Beaver Medical Group P C CurrentSince Feb 7, 2023 Accepting new patients
Centers for Family Medicine GP Family Medicine CurrentSince Jan 20, 2016 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Feb 7, 2023 Accepting new patients

Locations

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: dsaforo21887@epiclp.direct-ci.com

Organizations & group practices 4

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1083616783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310514 STUART MESA RD",
            "address_2": "CAMP PENDLETON",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "address_2": "NAVAL HOSPITAL CAMP PENDLETON",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUETTEH-SAFORO",
        "first_name": "DORA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D, FAAFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A061329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.