Active NPI
Sa'D Khalil Tuqan, M.D.
- Cardiovascular Disease Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C37812
- Practice address
- 2250 S Main St
Suite 201
Corona, CA 92882-5302 - Phone
- (951) 734-4880
- Fax
- (951) 734-7963
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C37812 | CA | Primary |
Addresses
Primary practice location
2250 S Main St
Suite 201
Corona, CA 92882-5302
Mailing address
1901 Town and Country Dr
Ste 104
Norco, CA 92860-3611
Phone (951) 808-6240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C378120 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C37812 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Heart Doctors Medical Group | Cardiovascular Disease | Current | Accepting new patients |
| Circle City Ekg Reading Panel,Inc | Current | Accepting new patients | |
| Corona Health Specialty Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Uhs Corona Inc | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
2250 S Main St
Ste 205
Corona, CA 92882
Phone (951) 734-2900
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
854 Magnolia Ave
Ste 201
Corona, CA 92879
Phone (951) 356-5414
2250 S Main St
Ste 201
Corona, CA 92882
Phone (951) 621-3232
1901 Town and Country Dr
Ste 104
Norco, CA 92860
Phone (951) 737-8141
940 N Haven Ave
Ste 18025
Ontario, CA 91764
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 and National Provider Directory roles.
-
- Specialist
- Corona, CA
- NPI 1891938155
-
- Urgent Care Clinic/Center
- Corona, CA
- NPI 1659971042
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Corona, CA
- NPI 1447263066
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1629030895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 TOWN AND COUNTRY DR",
"address_2": "STE 104",
"city": "NORCO",
"state": "CA",
"postal_code": "928603611",
"telephone_number": "951-808-6240",
"fax_number": "951-738-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S MAIN ST",
"address_2": "SUITE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928825302",
"telephone_number": "951-734-4880",
"fax_number": "951-734-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUQAN",
"first_name": "SA'D",
"middle_name": "KHALIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C37812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C378120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.