Organization Active NPI

Sadeghi Medical Corporation

  • Surgery Physician
  • Oakland, CA
National Provider Identifier
1396344321
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SADEGHI MEDICAL CORPORATION
Practice address
3871 Piedmont Ave # 105
Oakland, CA 94611-5378
Phone
(415) 306-3432
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Pooyan Sadeghi, MDNPI 1619203866
Title
Owner
Phone
(415) 306-3432

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3871 Piedmont Ave # 105
Oakland, CA 94611-5378

Mailing address

3871 Piedmont Ave # 105
Oakland, CA 94611-5378

National Provider Directory

National Provider Directory

Locations

3871 Piedmont Ave
Oakland, CA 94611
Phone (415) 306-3432

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1396344321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 PIEDMONT AVE # 105",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 PIEDMONT AVE # 105",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115378",
            "telephone_number": "415-306-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADEGHI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "POOYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-306-3432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.