Active NPI
Marian Safaoui, MD
- Surgery Physician
- Pomona, CA
National Provider Identifier
1174814339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A76837
- Practice address
- 309 East Second Street
Pomona, CA 91766-1854 - Phone
- (909) 706-3934
- Fax
- (909) 469-5698
- NPI assigned
- Apr 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A76837 | CA | Primary |
Addresses
Primary practice location
309 East Second Street
Pomona, CA 91766-1854
Mailing address
309 East Second Street
Pomona, CA 91766-1854
Phone (909) 706-3934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76837 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1174814339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 EAST SECOND STREET",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-706-3934",
"fax_number": "909-469-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 EAST SECOND STREET",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "909-706-3934",
"fax_number": "909-469-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAOUI",
"first_name": "MARIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A76837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.