Active NPI
Dara Saghafi, MD
- Internal Medicine Physician
- Santa Ana, CA
National Provider Identifier
1144320672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A76958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76958 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Urgent Medical Group Inc | Current | Accepting new patients | |
| Dara Saghafi MD, DC, Inc | Internal Medicine | Past | 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.
-
- Health Maintenance Organization
- Santa Ana, CA
- NPI 1881847424
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1164680377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.