Individual provider Active NPI

Afshin Saadat, MD

  • Internal Medicine Physician
  • San Dimas, CA
National Provider Identifier
1508856154
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76141 Issued in CA
Practice address
1334 W Covina Blvd Ste 204
San Dimas, CA 91773-3211
Phone
(909) 599-6300
Fax
(909) 305-2500
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A76141 CA Primary

Addresses

Primary practice location

1334 W Covina Blvd Ste 204
San Dimas, CA 91773-3211

Mailing address

1334 W Covina Blvd Ste 204
San Dimas, CA 91773-3211
Phone (909) 599-6300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000883 CA Practitioner - Internal Medicine 9537342274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1033 E Arrow Hwy
Glendora, CA 91740-6110
Phone (626) 963-7531

1161 E Covina Blvd
Covina, CA 91724-1523
Phone (626) 966-1632

1334 W Covina Blvd
Suite 204
San Dimas, CA 91773-3211
Phone (909) 599-6300

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (626) 331-7331

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

845 N Lark Ellen Ave
West Covina, CA 91791-1069
Phone (626) 339-5451

Hospital & facility affiliations

  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Arbor Glen Care Center Nursing home, Glendora, CA, CCN 056360

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76141CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
May Medical Management Corporation Current Accepting new patients
Afshin Saadat MD Inc Internal Medicine CurrentSince Jan 9, 2011 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Sep 4, 2018 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1234 Foothill Blvd
Ste 2
La Verne, CA 91750
Phone (909) 596-4879

1234 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-4879

625 The City Dr S
Orange, CA 92868
Phone (714) 202-2330

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1334 W Covina Blvd
Ste 204
San Dimas, CA 91773
Phone (909) 592-4737

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1508856154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADAT",
        "first_name": "AFSHIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.