Individual provider Active NPI

Imran Ahmed Sayeedi, M.D.

  • Pulmonary Disease Physician
  • Tarzana, CA
National Provider Identifier
1114305638
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A157829 Issued in CA
Practice address
18399 Ventura Blvd Ste 245
Tarzana, CA 91356
Phone
(818) 609-7536
NPI assigned
May 16, 2015
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A157829 CA
Hospitalist Physician 208M00000X A157829 CA
Pulmonary Disease Physician 207RP1001X A157829 CA Primary

Addresses

Primary practice location

18399 Ventura Blvd Ste 245
Tarzana, CA 91356

Mailing address

1565 Silver Shadow Dr
Newbury Park, CA 91320-3525
Phone (818) 309-9462

Other practice location 1

18399 Ventura Blvd Ste 245
Tarzana, CA 91356
Phone (818) 609-7536

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
I20181205000207 CA Practitioner - Internal Medicine 1557605300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jaspreet Somal M.D., a.P.C.Group PAC ID 0840604690, 10 clinicians

Practice addresses (Care Compare)

4776 Allied Rd
San Diego, CA 92120-2412
Phone (216) 776-8923

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as individual
Quality
93.25
Improvement activities
0
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157829CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jaspreet Somal M.D., a.P.C. CurrentSince Aug 21, 2022 Accepting new patients
Life Medical Practitioners Critical Care Medicine PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1114305638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SILVER SHADOW DR",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203525",
            "telephone_number": "818-309-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 VENTURA BLVD STE 245",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-609-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18399 Ventura Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "91356",
            "country_code": "US",
            "telephone_number": "818-609-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAYEEDI",
        "first_name": "IMRAN",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A157829",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A157829",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A157829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.