Saddleback Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G63246 Issued in CA

Legal business name

SADDLEBACK FAMILY MEDICINE

Practice address

24422 Avenida de la Carlota Ste 272
Laguna Hills, CA 92653-3648

Phone

(949) 282-6500

Fax

(949) 282-6501

NPI assigned

Feb 5, 2007

Last updated

Dec 21, 2018By 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

Stephen John Ierardi, MDNPI 1548308836

Title

Physician

Phone

(949) 282-6500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stephen John Ierardi, MD

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1548308836
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1336288745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 272",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533648",
            "telephone_number": "949-282-6500",
            "fax_number": "949-282-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 272",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533648",
            "telephone_number": "949-282-6500",
            "fax_number": "949-282-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24411 Health Center Dr",
            "address_2": "Suite 670",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533651",
            "country_code": "US",
            "telephone_number": "949-452-7755",
            "fax_number": "949-452-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SADDLEBACK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "IERARDI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-282-6500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussien Saab, MD
• Joseph Saavedra
• Sabeen Munib Pur Health
• Gloria Victoria Sabroso Rojas
• Saddleback Cardiology Group
• Saddleback Magnetic Resonance Imaging Medical Group
• Saddleback Medical Group Inc
• Saddleback Memorial Medical Center
• Saddleback Memorial Medical Center
• Saddleback Memorial Medical Center (Saddleback Coordinated Home Care)

• Family Medicine Physician in Laguna Hills, CA
• Providers in Laguna 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 Dec 21, 2018; 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.