Organization Active NPI

Sawan Medical Group Inc

  • General Practice Physician
  • Apple Valley, CA
National Provider Identifier
1336471242
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G55163 Issued in CA
Legal business name
SAWAN MEDICAL GROUP INC
Practice address
16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825
Phone
(760) 242-8221
Fax
(760) 242-8869
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Ziad R Sawan, MDNPI 1912958786
Title
Owner
Phone
(760) 242-8221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X G55163 CA Primary

Addresses

Primary practice location

16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825

Mailing address

16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825
Phone (760) 242-8221

Other names 1

  • ALLPOINTS MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000869 CA Part B Supplier - Clinic/Group Practice 2668408915 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Apple Valley, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

16003 Tuscola Rd
Ste F
Apple Valley, CA 92307
Phone (760) 242-8221

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1336471242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD",
            "address_2": "SUITE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-242-8221",
            "fax_number": "760-242-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD",
            "address_2": "SUITE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-242-8221",
            "fax_number": "760-242-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWAN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SAWAN",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G55163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLPOINTS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.