Soraya Medical Group, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A46572 Issued in CA

Legal business name

SORAYA MEDICAL GROUP, INC.

Practice address

2701 Firestone Blvd
Suite W
South Gate, CA 90280-2778

Phone

(323) 249-6162

Fax

(323) 563-0820

NPI assigned

Jan 8, 2007

Last updated

Jul 30, 2013By 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

Dr. Saeid Sadighi, M.D.NPI 1104037506

Title

President

Phone

(323) 249-6162

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Saeid Sadighi, M.D.

  • General Practice Physician
  • South Gate, CA
  • NPI 1104037506

  Diagnostic Radiology

  Medicare reassignment NPD Authorized official
• Seyed Ali Khonsary, M.D.

  • Nuclear Medicine Physician
  • South Gate, CA
  • NPI 1003024464

  General Practice

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1285782664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 FIRESTONE BLVD STE W",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802778",
            "telephone_number": "323-249-6162",
            "fax_number": "323-563-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 FIRESTONE BLVD",
            "address_2": "SUITE W",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802778",
            "telephone_number": "323-249-6162",
            "fax_number": "323-563-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SADIGHI",
        "authorized_official_first_name": "SAEID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-249-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHC134869",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A46572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080041",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO I.D",
            "identifier": "00A465720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "ZZZ55357Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO I.D.",
            "identifier": "A465720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adriana Solano
• Brenda Solares
• Joshua Soler, MD
• Afaf Soliman, MD
• Sonia Canton Moran DDS a Dental Corporation
• Sorour Dental Group Corp
• South Gate Ambulatory Surgical Center, LLC
• South Gate Optometry
• South Gate Optometry Inc
• South Gate Pharmacy Inc

• General Practice Physician in South Gate, CA
• Providers in South Gate, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.