Individual provider Active NPI

Hadi Safavi, DO

  • Adult Medicine Physician
  • Bisbee, AZ
National Provider Identifier
1508124686
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
16123 Issued in CA
Practice address
108 Arizona St
Bisbee, AZ 85603-1804
Phone
(520) 432-3309
NPI assigned
Apr 26, 2012
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019515MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240130001372 TX Practitioner - Family Practice 4284943739 Reassigns benefits to 1 organization
I20250710004343 CA Practitioner - Family Practice 4284943739 Reassigns benefits to 1 organization

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
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

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

LicenseStateTypeSpecialty
16123CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indian Health Council CurrentSince Dec 11, 2023 Accepting new patients
Arch Health Partners, Inc Family Medicine CurrentSince Aug 15, 2025 Accepting new patients
Arch Health Partners CurrentSince Aug 15, 2025 Accepting new patients
Southern Indian Health Council CurrentSince Dec 11, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.