Individual provider Active NPI

Shahla Sadighian, MD

  • Internal Medicine Physician
  • Placentia, CA
National Provider Identifier
1265410468
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53433 Issued in CA
Practice address
1275 N Rose Drive
Suite 126
Placentia, CA 92870
Phone
(714) 524-3880
Fax
(714) 524-3884
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53433 CA Primary

Addresses

Primary practice location

1275 N Rose Drive
Suite 126
Placentia, CA 92870

Mailing address

1275 N Rose Drive
Suite 126
Placentia, CA 92870
Phone (714) 524-3880

Other identifiers 1

IdentifierTypeStateIssuer
00A534330MedicaidCA

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
I20100831000261 CA Practitioner - Internal MedicinePractitioner - General Practice 8224177753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53433CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Secure Health Medical Group Inc Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
University of California Irvine Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

1275 N Rose Dr
Ste 126
Placentia, CA 92870
Phone (714) 457-3828

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1265410468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DRIVE",
            "address_2": "SUITE 126",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-524-3880",
            "fax_number": "714-524-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DRIVE",
            "address_2": "SUITE 126",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-524-3880",
            "fax_number": "714-524-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIGHIAN",
        "first_name": "SHAHLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A534330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.