Individual provider Active NPI

Javed Nisar Sadiq, M.D.

  • Gastroenterology Physician
  • Santa Ana, CA
National Provider Identifier
1609194703
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A138592 Issued in CA
Practice address
2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718
Phone
(657) 900-4536
Fax
(657) 208-9732
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A138592 CA Primary

Addresses

Primary practice location

2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718

Mailing address

2621 S Bristol St Ste 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

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
I20160810002193 CA Practitioner - Gastroenterology 3577857747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal and Liver Consultants IncGroup PAC ID 2163731753, 2 clinicians

Practice addresses (Care Compare)

2621 S Bristol St
Suite 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

Hospital & facility affiliations

  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138592CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caduceus Physicians Medical Group CurrentSince Jan 30, 2023 Accepting new patients
Gastrointestinal and Liver Consultants Inc. Gastroenterology CurrentSince Nov 1, 2019 Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Ophthalmology Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

710 N Euclid St
Ste 210
Anaheim, CA 92801
Phone (657) 900-4536

1400 Reynolds Ave
Ste 100
Irvine, CA 92614
Phone (657) 900-4536

2621 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (657) 900-4536

5455 Garden Grove Blvd
Ste 230
Westminster, CA 92683
Phone (657) 900-4536

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 646-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 3

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1609194703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST STE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045718",
            "telephone_number": "657-900-4536",
            "fax_number": "657-208-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "JAVED",
        "middle_name": "NISAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A138592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.