Sadia Quidwai, PA-C

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT 00033313 Issued in CA

Practice address

10186 Stilbite Ave
Fountain Valley, CA 92708-1012

Phone

(714) 624-0686

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1366843104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10186 STILBITE AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081012",
            "telephone_number": "714-624-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIDWAI",
        "first_name": "SADIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT 00033313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.