Active NPI
Javad Abbas Sajan, M.D.,
- Plastic and Reconstructive Surgery Physician
- Seattle, WA
National Provider Identifier
1679717748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 60430545
- Practice address
- 1455 NW Leary Way
Suite 449
Seattle, WA 98107-5124 - Phone
- (206) 209-0988
- NPI assigned
- Apr 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 60430545 | WA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 60430545 | WA | Primary |
Addresses
Primary practice location
1455 NW Leary Way
Suite 449
Seattle, WA 98107-5124
Mailing address
1455 NW Leary Way Ste 449
Seattle, WA 98107-5124
Phone (206) 209-0988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048314 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60430545 | WA | MD | Otolaryngology/Facial Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1679717748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 NW LEARY WAY STE 449",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075124",
"telephone_number": "206-209-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 NW LEARY WAY",
"address_2": "SUITE 449",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075124",
"telephone_number": "206-209-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAJAN",
"first_name": "JAVAD",
"middle_name": "ABBAS",
"name_prefix": "Dr.",
"credential": "M.D.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-20",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "WA",
"license": "60430545",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "60430545",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2048314",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.