Habibollah Merzad Sadeghi, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8718 Issued in CA

Practice address

28632 Roadside Dr
Suite 105
Agoura Hills, CA 91301

Phone

(818) 452-4483

Fax

(818) 452-4488

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Habib M Sadeghi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1275742041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR",
            "address_2": "SUITE 105",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-452-4483",
            "fax_number": "818-452-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28632 ROADSIDE DR",
            "address_2": "SUITE 105",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-452-4483",
            "fax_number": "818-452-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "HABIBOLLAH",
        "middle_name": "MERZAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HABIB",
            "last_name": "SADEGHI",
            "middle_name": "M",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Ruiz
• Kelly Ann Ruotolo, LMFT
• Erin Catherine Rush, LMFT
• Robert Kevin Ryan
• Samantha Sacks
• Jessica Saghian, PA-C
• Robert Hitoshi Sakamoto
• Carie Salas, LCSW
• Einat Samana
• Sabrina Samedi, LMFT

• Family Medicine Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.