Raja C Saad

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

CERT-SA10-104 Issued in CO

Practice address

280 Pale San Vitores Road
Tamuning, GU 96913

Phone

(671) 647-4542

Fax

(671) 647-4558

NPI assigned

Oct 5, 2010

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2010.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1124337399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES ROAD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-4542",
            "fax_number": "671-647-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES ROAD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-4542",
            "fax_number": "671-647-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "RAJA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "CERT-SA10-104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald T. Kobayashi & Associates, PC
• Angelito B Roque, PT
• Wenona C Rosas, RN
• Rosemarie B. Camacho Counseling Services, PC
• Rsa - Tumon, LLC
• Rieza Mari Reyes Sabido
• Sagua Managu
• Romeo M Samonte, M.D.
• Marlene R San Nicolas, O.D.
• Maria Melinda Bernales Sangalang, D.P.M.

• All providers in Tamuning, GU
• Surgical Assistant in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.