Individual provider Active NPI

Arzoo Sadiqi, DO

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1114417581
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17686 Issued in CA
Practice address
4711 W Ashlan Ave
Fresno, CA 93722-4307
Phone
(559) 203-6640
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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 20A17686 CA Primary

Addresses

Primary practice location

4711 W Ashlan Ave
Fresno, CA 93722-4307

Mailing address

PO Box 737
San Joaquin, CA 93660-0737
Phone (559) 203-6640

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
I20200314000304 CA Practitioner - Family Practice 6608204243 Reassigns benefits to 2 organizations
Practice locations: Chula Vista, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 Eastlake Pkwy
Suite 202
Chula Vista, CA 91914-4521
Phone (925) 639-1956

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17686CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SD Health and Beauty LLC Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 15, 2024 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Monica Perlman MD Inc. Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

4358 Bonita Rd
Ste 400
Bonita, CA 91902
Phone (619) 695-1266

752 Medical Center Ct
Ste 200
Chula Vista, CA 91911
Phone (619) 421-4311

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1114417581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600737",
            "telephone_number": "559-203-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 W ASHLAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224307",
            "telephone_number": "559-203-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQI",
        "first_name": "ARZOO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.