Individual provider Active NPI

Sula M Safar, DO

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1225294713
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11180 Issued in CA
Practice address
3110 Chino Ave Ste 150a
Chino Hills, CA 91709-1295
Phone
(909) 630-7490
Fax
(909) 469-2108
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11180 CA Primary

Addresses

Primary practice location

3110 Chino Ave Ste 150a
Chino Hills, CA 91709-1295

Mailing address

3110 Chino Ave Ste 150a
Chino Hills, CA 91709-1295
Phone (909) 630-7490

Other practice location 1

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Other identifiers 1

IdentifierTypeStateIssuer
1225294713MedicaidCA

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
I20111025000810 CA Practitioner - Family Practice 1355519356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3110 Chino Ave
Suite 150a
Chino Hills, CA 91709-1295
Phone (909) 630-7490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Sep 18, 2011 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Sep 18, 2011 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

3110 Chino Ave
Ste 150A
Chino Hills, CA 91709
Phone (909) 630-7490

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150B
Chino Hills, CA 91709
Phone (909) 630-7868

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1225294713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 150A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091295",
            "telephone_number": "909-630-7490",
            "fax_number": "909-469-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 150A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091295",
            "telephone_number": "909-630-7490",
            "fax_number": "909-469-2108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 N Orange Grove Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFAR",
        "first_name": "SULA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225294713",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.