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Northridge Trauma Surgeons Inc a Medical Corporation

Organization Active NPI Surgery Physician · Northridge, CA

NPI 1255418745 · NPPES record last updated Apr 11, 2023

Key facts

NPI
1255418745
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
NORTHRIDGE TRAUMA SURGEONS INC A MEDICAL CORPORATION
Practice address
18300 Roscoe Blvd
Northridge Trauma Surgeons Inc
Northridge, CA 91328
Phone
(818) 885-8500
Fax
(818) 775-0211
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

Name
Shawki D Saad, MD
Title
Medical Director
Phone
(818) 885-8500

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230512000129 CA Part B Supplier - Clinic/Group Practice 2567828825 Receives reassigned benefits from 15 practitioners
Practice locations: Northridge, CA

National Provider Directory

Locations

File 56467
Los Angeles, CA 90074

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 204E00000X
Neurological Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207T00000X
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207V00000X
Ophthalmology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207W00000X
Orthopaedic Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207X00000X
Plastic Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208200000X
Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208600000X Yes
Surgery of the Hand (Surgery) Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2086S0105X
Plastic and Reconstructive Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2086S0122X
Trauma Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2086S0127X
Urology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208G00000X

Addresses

Primary practice location

18300 Roscoe Blvd
Northridge Trauma Surgeons Inc
Northridge, CA 91328

Mailing address

File # 56467
Los Angeles, CA 90074
Phone (818) 885-8500

Other identifiers

IdentifierTypeStateIssuer
CGP155473OtherCCS

Other providers in Northridge, CA

All providers in Northridge, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.