Individual provider Active NPI

Dara Saghafi, MD

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1144320672
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76958 Issued in CA
Practice address
1638 E 17TH St Ste a
Santa Ana, CA 92705-8515
Phone
(714) 835-9147
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76958 CA Primary

Addresses

Primary practice location

1638 E 17TH St Ste a
Santa Ana, CA 92705-8515

Mailing address

1638 E 17TH St Ste a
Santa Ana, CA 92705-8515
Phone (714) 835-9147

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
I20051118000737 CA Practitioner - Internal MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Chiropractic 9335168343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76958CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Urgent Medical Group Inc CurrentSince Dec 5, 2010 Accepting new patients
Dara Saghafi MD, DC, Inc Internal Medicine PastSince Jan 2, 2022 Accepting new patients

Locations

1401 W 1st St
Ste 101
Santa Ana, CA 92703
Phone (714) 542-9700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1144320672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 E 17TH ST STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058515",
            "telephone_number": "714-835-9147",
            "fax_number": "714-835-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 E 17TH ST STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058515",
            "telephone_number": "714-835-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHAFI",
        "first_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.