Individual provider Active NPI

Eyden Sayah, DO, MS

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1225483993
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16506 Issued in CA
Practice address
7707 Austin Rd
Stockton, CA 95215-8312
Phone
(209) 420-5622
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 16506 CA Primary

Addresses

Primary practice location

7707 Austin Rd
Stockton, CA 95215-8312

Mailing address

717 W Atherton Dr Apt 324
Manteca, CA 95337-9534
Phone (209) 420-5622

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)
Not enrolled
Credentials
Doctor of Osteopathy, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1225483993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W ATHERTON DR APT 324",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953379534",
            "telephone_number": "209-420-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 AUSTIN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952158312",
            "telephone_number": "209-420-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYAH",
        "first_name": "EYDEN",
        "name_prefix": "Dr.",
        "credential": "DO, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "16506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.