Active NPI
Hadi Safavi, DO
- Adult Medicine Physician
- Bisbee, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 16123
- Practice address
- 108 Arizona St
Bisbee, AZ 85603-1804 - Phone
- (520) 432-3309
- NPI assigned
- Apr 26, 2012
- Last updated
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 16123 | CA | Primary |
Addresses
Primary practice location
108 Arizona St
Bisbee, AZ 85603-1804
Mailing address
4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019515 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 13TH St
Ramona, CA 92065-2711
Phone (760) 789-5160
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16123 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indian Health Council | Current | Accepting new patients | |
| Arch Health Partners, Inc | Family Medicine | Current | Accepting new patients |
| Arch Health Partners | Current | Accepting new patients | |
| Southern Indian Health Council | Current | Accepting new patients | |
| Southern Indian Health Council | Current | Accepting new patients |
Locations
4058 Willows Rd
Alpine, CA 91901
5005 Willows Rd
#J111
Alpine, CA 91901
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
211 13th St
Ramona, CA 92065
Phone (760) 789-5160
120 Craven Rd
Ste 201
San Marcos, CA 92078
Interoperability endpoints
- hadi.safavi.p1@direct.arch.nextgenshare.com
Organizations & group practices 5
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.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
- Clinic/Center
- Alpine, CA
- NPI 1346247947
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Boulevard, CA
- NPI 1902562416
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1508124686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4058 WILLOWS RD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011668",
"telephone_number": "619-445-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ARIZONA ST",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856031804",
"telephone_number": "520-432-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAVI",
"first_name": "HADI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "16123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019515",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.