Individual provider Active NPI

Nassera L Saidani, MS, PA-C

  • Physician Assistant
  • San Ysidro, CA
National Provider Identifier
1710292248
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20629 Issued in CA
Practice address
4004 Beyer Blvd
San Ysidro, CA 92173
Phone
(619) 662-4100
Fax
(619) 662-4110
NPI assigned
Aug 9, 2010
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20629 CA Primary

Addresses

Primary practice location

4004 Beyer Blvd
San Ysidro, CA 92173

Mailing address

2176 Salk Ave Ste 200
Carlsbad, CA 92008-7346
Phone (858) 927-5527

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000281 CA Practitioner - Physician Assistant 3678754025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

501 Washington St
San Diego, CA 92103-2239
Phone (619) 278-3300

971 Lane Ave
Chula Vista, CA 91914-3501
Phone (619) 502-7300

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
20629CAMDSpeech-Language Pathologist
PA20629CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Jul 2, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Jul 2, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Physician Assistant Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

2176 Salk Ave
Ste 200
Carlsbad, CA 92008
Phone (760) 827-7200

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

501 Washington St
Ste 600
San Diego, CA 92103
Phone (619) 278-3300

Interoperability endpoints

  • Direct secure messaging: nsaidani79649@scrippshlth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1710292248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 SALK AVE STE 200",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087346",
            "telephone_number": "858-927-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 BEYER BLVD",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "92173",
            "telephone_number": "619-662-4100",
            "fax_number": "619-662-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIDANI",
        "first_name": "NASSERA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ysidro, CA

Sources for this page

Verify at the official NPI Registry.