Organization Active NPI

Michael J. Sasevich, M.D., a Professional Medical Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Encinitas, CA
National Provider Identifier
1710200530
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A85960 Issued in CA
Legal business name
MICHAEL J. SASEVICH, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
1200 Garden View Rd
Suite 200
Encinitas, CA 92024-2477
Phone
(760) 632-8400
Fax
(760) 632-8448
NPI assigned
Mar 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Michael J. Sasevich, M.D.
Title
President/Cardiothoracic Surgeon
Phone
(760) 632-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X A85960 CA Primary

Addresses

Primary practice location

1200 Garden View Rd
Suite 200
Encinitas, CA 92024-2477

Mailing address

PO Box 600
La Jolla, CA 92038-0600
Phone (760) 632-8400

Other identifiers 1

IdentifierTypeStateIssuer
1629271200OtherCAPHYSICIAN INDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1710200530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920380600",
            "telephone_number": "760-632-8400",
            "fax_number": "760-632-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GARDEN VIEW RD",
            "address_2": "SUITE 200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242477",
            "telephone_number": "760-632-8400",
            "fax_number": "760-632-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. SASEVICH, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "SASEVICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CARDIOTHORACIC SURGEON",
        "authorized_official_telephone_number": "760-632-8400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A85960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDIVIDUAL NPI NUMBER",
            "identifier": "1629271200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.