Individual provider Active NPI

Iaisha Sadat, RN, FNP-C

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1497615561
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95036090 Issued in CA
Practice address
1444 Florida Ave Ste 100
Modesto, CA 95350-4400
Phone
(209) 524-1668
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95036090 CA Primary

Addresses

Primary practice location

1444 Florida Ave Ste 100
Modesto, CA 95350-4400

Mailing address

1444 Florida Ave Ste 100
Modesto, CA 95350-4400
Phone (209) 524-1668

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
I20260109000625 CA Practitioner - Nurse Practitioner 5294211207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21410 N 19TH Ave
Suite 151
Phoenix, AZ 85027-2761

501 N 44TH St
Suite 450
Phoenix, AZ 85008-6526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95036090CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Speirs MD PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

1262 E North St
Ste 100
Manteca, CA 95336
Phone (209) 524-1668

1444 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 524-1668

1444 Florida Ave
Ste 12
Modesto, CA 95350
Phone (209) 524-1264

Organizations & group practices 1

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": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1497615561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504400",
            "telephone_number": "209-524-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FLORIDA AVE STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504400",
            "telephone_number": "209-524-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAT",
        "first_name": "IAISHA",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95036090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.