Organization Active NPI

Saetrum Opgaard MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Garden Grove, CA
National Provider Identifier
1417197997
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SAETRUM OPGAARD MD INC
Practice address
9191 Westminster Ave Ste 207
Garden Grove, CA 92844-2751
Phone
(714) 786-5794
Fax
(714) 786-5799
NPI assigned
Feb 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Ole Saetrum Opgaard, M.D.
Title
President/Owner
Phone
(949) 228-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

9191 Westminster Ave Ste 207
Garden Grove, CA 92844-2751

Mailing address

PO Box 12259
Westminster, CA 92685-2259
Phone (949) 228-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090519000066 CA Part B Supplier - Clinic/Group Practice 8527117720 Receives reassigned benefits from 6 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

24953 Paseo de Valencia
Ste 24B
Laguna Hills, CA 92653
Phone (714) 786-5794

Practitioners & affiliated clinicians

Practitioners 7

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": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1417197997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12259",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926852259",
            "telephone_number": "949-228-6387",
            "fax_number": "714-786-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE STE 207",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-786-5794",
            "fax_number": "714-786-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAETRUM OPGAARD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "OPGAARD",
        "authorized_official_first_name": "OLE",
        "authorized_official_middle_name": "SAETRUM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-228-6387",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.