Active NPI
Sally Sayasa, NP
- Pain Medicine Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 95019815
- Practice address
- 9940 Talbert Ave # 101
Fountain Valley, CA 92708-5153 - Phone
- (949) 872-5699
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 95019815 | CA | Primary |
Addresses
Primary practice location
9940 Talbert Ave # 101
Fountain Valley, CA 92708-5153
Mailing address
8411 Aspenwood Ave
Westminster, CA 92683-6378
Phone (714) 514-0773
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019815 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J M Geiss DO Apc | Current | Accepting new patients | |
| Universal Care | Current | Accepting new patients | |
| Central Health Plan of California, Inc. | Current | Accepting new patients | |
| Minghsun Liu, M.D., PC | Current | Accepting new patients | |
| Access Alliance Medical Group, Inc | Current | Accepting new patients |
Locations
105 W Alameda Ave
Ste 210
Burbank, CA 91502
Phone (818) 334-3858
644 W Broadway
Ste 114
Glendale, CA 91204
Phone (818) 334-3858
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- ssayasa14636@direct-prd.molinahealthcare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Nurse Practitioner
- Glendale, CA
- NPI 1629534045
-
- Health Maintenance Organization
- Diamond Bar, CA
- NPI 1386714772
-
dba Woundtech of California
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518309368
-
dba Molina Medical Centers
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1376632877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1396497087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 ASPENWOOD AVE",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836378",
"telephone_number": "714-514-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 TALBERT AVE # 101",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927085153",
"telephone_number": "949-872-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYASA",
"first_name": "SALLY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "95019815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.