Organization Active NPI

Saddleback Valley Podiatry Group Inc.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
National Provider Identifier
1598891871
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2627 Issued in CA
Legal business name
SADDLEBACK VALLEY PODIATRY GROUP INC.
Practice address
23961 Calle de la Magdalena
Ste 143
Laguna Hills, CA 92653-3616
Phone
(949) 768-9495
Fax
(949) 768-8018
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. David Sabet, DPM
Title
Owner
Phone
(949) 768-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2627 CA Primary

Addresses

Primary practice location

23961 Calle de la Magdalena
Ste 143
Laguna Hills, CA 92653-3616

Mailing address

23961 Calle de la Magdalena
Ste 143
Laguna Hills, CA 92653-3616
Phone (949) 768-9495

Other identifiers 2

IdentifierTypeStateIssuer
GRE000020MedicaidCA
ZZZ87084ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080328000770 CA Part B Supplier - Clinic/Group Practice 4183700248 Receives reassigned benefits from 2 practitioners
Practice locations: Laguna Hills, CA
O20100930038439 CA DME Supplier - Physician - Podiatry 4183700248 Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

23961 Calle de la Magdalena
Ste 135
Laguna Hills, CA 92653

23961 Calle de la Magdalena
Ste 143
Laguna Hills, CA 92653
Phone (949) 768-9495

27800 Medical Center Rd
Ste 322
Mission Viejo, CA 92691
Phone (949) 364-5180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1598891871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE 143",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-768-9495",
            "fax_number": "949-768-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE 143",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-768-9495",
            "fax_number": "949-768-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK VALLEY PODIATRY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "SABET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-768-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE000020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ87084Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.