Organization Active NPI

Javed N. Sadiq, MD Inc

  • Gastroenterology Physician
  • Redlands, CA
National Provider Identifier
1144755463
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A138592 Issued in CA
Legal business name
JAVED N. SADIQ, MD INC
Practice address
26021 Business Center Dr
Redlands, CA 92374-4553
Phone
(909) 796-0363
Fax
(909) 255-7294
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Norma Luevano
Title
Office Manager
Phone
(909) 796-0363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A138592 CA Primary

Addresses

Primary practice location

26021 Business Center Dr
Redlands, CA 92374-4553

Mailing address

10408 Industrial Cir
Redlands, CA 92374-4548
Phone (909) 796-0363

Other identifiers 2

IdentifierTypeStateIssuer
1609194703OtherCAPERSONAL NPI
00A138592MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1144755463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26021 BUSINESS CENTER DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744553",
            "telephone_number": "909-796-0363",
            "fax_number": "909-255-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVED N. SADIQ, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "LUEVANO",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-796-0363"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A138592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1609194703",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A138592",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.