Organization Active NPI

Ehsan Saadat MD Inc

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
National Provider Identifier
1336775303
Registry record updated Apr 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
EHSAN SAADAT MD INC
Practice address
444 S San Vicente Blvd Ste 901
Los Angeles, CA 90048-4174
Phone
(310) 849-4412
NPI assigned
Mar 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2020

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

Authorized official

Name
Ehsan Saadat, MDNPI 1972899433
Title
President
Phone
(310) 849-4412

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

444 S San Vicente Blvd Ste 901
Los Angeles, CA 90048-4174

Mailing address

865 Comstock Ave Apt 9D
Los Angeles, CA 90024-2583
Phone (310) 849-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200501000409 CA Part B Supplier - Clinic/Group Practice 4284064452 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA
O20210215000294 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4284064452 Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586044800000",
    "number": "1336775303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 COMSTOCK AVE APT 9D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242583",
            "telephone_number": "310-849-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD STE 901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484174",
            "telephone_number": "310-849-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSAN SAADAT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A",
        "authorized_official_last_name": "SAADAT",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-849-4412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.