Hadi Safavi, DO
Individual provider Active NPI Adult Medicine Physician · Bisbee, AZ
NPI 1508124686 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1508124686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 16123 (CA)
- Practice address
- 108 Arizona St
Bisbee, AZ 85603-1804 - Phone
- (520) 432-3309
- NPI assigned
- Apr 26, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arch Health Partners Inc
Practice addresses (Care Compare)
211 13TH St
Ramona, CA 92065-2711
Phone (760) 789-5160
Hospital & facility affiliations
- Archer Health Inc
- Palomar Medical Center Poway
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240130001372 | TX | Practitioner - Family Practice | 4284943739 | Reassigns benefits to 1 organization |
| I20250710004343 | CA | Practitioner - Family Practice | 4284943739 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indian Health Council | Current | Accepting 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 |
Locations
4058 Willows Rd
Alpine, CA 91901
Phone (619) 445-1188
5005 Willows Rd
#J111
Alpine, CA 91901
Phone (619) 445-1188
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 16123 | CA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019515 | Medicaid | AZ |
Other providers in Bisbee, AZ
- Pinal Hispanic Council Incorporated
- Ludovit Reuben Prikler
- Candace Lynne Quibell
- Jean Marie Robidoux
- Denise Michelle Rogers
- Safeway Inc
- Melissa Marie Sanchez
- Sassy Transport LLC
- Alexander L. Schoenfeld
- Julie Schourup
All providers in Bisbee, AZ · Adult Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.