Afshin Saadat MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AFSHIN SAADAT MD INC

Practice address

1334 W Covina Blvd Ste 204
San Dimas, CA 91773-3211

Phone

(909) 599-6300

Fax

(909) 305-2500

NPI assigned

Jan 25, 2011

Last updated

May 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Coull

Title

Manager

Phone

(909) 599-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Afshin Saadat, MD

  • Internal Medicine Physician
  • San Dimas, CA
  • NPI 1508856154
  Medicare reassignment NPD
• Leslie Marie Cardoza, PA-C, ATC

  • Physician Assistant
  • Orange, CA
  • NPI 1861841561
  NPD
• Eric Edwin Edillon

  • Physician Assistant
  • West Covina, CA
  • NPI 1114571023
  NPD
• William C Inciso, PA-C, PHD

  • Physician Assistant
  • San Bernardino, CA
  • NPI 1407050289
  NPD
• Christina Ann Lagazo, NP

  • Nurse Practitioner
  • West Covina, CA
  • NPI 1679056451
  NPD
• Sadiq Mandilawi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • La Verne, CA
  • NPI 1295716736

  Internal Medicine

  NPD
• Matthew Jordan Santa Cruz, PA

  • Physician Assistant
  • La Verne, CA
  • NPI 1609424027
  NPD
• Asif Siddiq, M.D.

  • Family Medicine Physician
  • La Verne, CA
  • NPI 1467763078
  NPD
• Sabah Kadhium, MD

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1306836770
  NPD (past)
• Sami A Nafoosi, MD

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1164713244
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1225333065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN SAADAT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "COULL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-599-6300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EQ227A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.