NPIMap

Individual provider Active NPI

Shida Saam, DO

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1528099470
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6743 Issued in CA
Practice address
16300 Sand Canyon Ave Ste 602
Irvine, CA 92618-3706
Phone
(949) 783-1911
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6743 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Ave Ste 602
Irvine, CA 92618-3706

Mailing address

16300 Sand Canyon Ave Ste 602
Irvine, CA 92618-3706
Phone (949) 783-1911

Other identifiers 1

IdentifierTypeStateIssuer
00AX67430MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000848 CA Practitioner - Geriatric Medicine 0042247280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
University of California, San Diego School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16300 Sand Conyon
Suite 106
Irvine, CA 92618-3704
Phone (714) 541-5355

16300 Sand Conyon
Suite 602
Irvine, CA 92618-3706
Phone (949) 783-1911

Hospital & facility affiliations

  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Merit-based Incentive Payment System (MIPS)

Final score
98.19 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6743CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Private Practice Network Inc Family Medicine CurrentSince Jul 29, 2017 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
MD Solutions Medical Corp Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGGGAA/Endpoint/HGGGAA

Organizations & group practices 10

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 5

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1528099470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 602",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-783-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 602",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-783-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAM",
        "first_name": "SHIDA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.