Farid Saadat MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A49782 Issued in CA

Legal business name

FARID SAADAT MD INC

Practice address

425 Diamond Dr
Suite 102
Lake Elsinore, CA 92530-4561

Phone

(951) 471-5711

Fax

(951) 471-5713

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Farid Saadat, MDNPI 1891767935

Title

Ceo

Phone

(951) 471-5711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Farid Saadat, MD

  • Internal Medicine Physician
  • Lake Elsinore, CA
  • NPI 1891767935
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1700059995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DR",
            "address_2": "SUITE 102",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-5711",
            "fax_number": "951-471-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DR",
            "address_2": "SUITE 102",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-5711",
            "fax_number": "951-471-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARID SAADAT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "SAADAT",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-471-5711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelica Fernandez
• Diana Fernandez, M.S.

• Internal Medicine Physician in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.