Individual provider Active NPI

Sangeeta Saifullah, MSN, NP-C

  • Family Nurse Practitioner
  • Perris, CA
National Provider Identifier
1386361277
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95022925 Issued in CA
Practice address
1675 N Perris Blvd Ste G1
Perris, CA 92571-4748
Phone
(951) 956-2400
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 649106 CA
Family Nurse Practitioner 363LF0000X NP95022925 CA Primary

Addresses

Primary practice location

1675 N Perris Blvd Ste G1
Perris, CA 92571-4748

Mailing address

1675 N Perris Blvd Ste G1
Perris, CA 92571-4748
Phone (951) 956-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406001007 CA Practitioner - Nurse Practitioner 1850766742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95022925CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Feb 27, 2023 Accepting new patients
North County Health Project Inc CurrentSince Feb 27, 2023 Accepting new patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc Past Accepting new patients

Locations

1675 N Perris Blvd
Ste G1
Perris, CA 92571
Phone (730) 736-6700

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Interoperability endpoints

  • Direct secure messaging: ssaifullah355777@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1386361277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N PERRIS BLVD STE G1",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714748",
            "telephone_number": "951-956-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N PERRIS BLVD STE G1",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714748",
            "telephone_number": "951-956-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIFULLAH",
        "first_name": "SANGEETA",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "649106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95022925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

Verify at the official NPI Registry.