Active NPI
Sandra Qaseem, MD
- Geriatric Medicine (Family Medicine) Physician
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 2004-0648
- Practice address
- 39765 Date St Ste 102
Murrieta, CA 92563-2005 - Phone
- (951) 894-4665
- Fax
- (951) 894-5178
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 2004-0648 | NM | Primary |
Addresses
Primary practice location
39765 Date St Ste 102
Murrieta, CA 92563-2005
Mailing address
39765 Date St Ste 102
Murrieta, CA 92563-2005
Phone (951) 894-4665
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 |
|---|---|---|---|
| 2004-0648 | NM | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Healthcare Crossing Corporation | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100
39765 Date St
Ste 102
Murrieta, CA 92563
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- sandra.qaseem.1@10674.direct.athenahealth.com
- sqaseem550731@direct.llu.edu
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.
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-
- Federally Qualified Health Center (FQHC)
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- NPI 1013935923
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Family Medicine Physician
- Redlands, CA
- NPI 1679043400
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1831624493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1629083191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39765 DATE ST STE 102",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39765 DATE ST STE 102",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632005",
"telephone_number": "951-894-4665",
"fax_number": "951-894-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QASEEM",
"first_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2022-06-24",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NM",
"license": "2004-0648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.