Individual provider Active NPI

Sasan Setoodeh

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
National Provider Identifier
1710373147
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A163655 Issued in CA
Practice address
3301 C St Ste 200E
Sacramento, CA 95816-3363
Phone
(949) 202-9648
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A163655 CA Primary

Addresses

Primary practice location

3301 C St Ste 200E
Sacramento, CA 95816-3363

Mailing address

3301 C St Ste 200E
Sacramento, CA 95816-3363

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200731002736 CA Practitioner - Pathology 1052736444 Reassigns benefits to 1 organization
I20230504003129 NV Practitioner - Pathology 1052736444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 C St
Suite 200E
Sacramento, CA 95816-3363

4001 J St
Sacramento, CA 95816-3626
Phone (916) 446-0424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
80.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163655CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Diagnostic Pathology Medical Group Inc Current Accepting new patients
Lodi Memorial Hospital Association Inc Current Accepting new patients
Diagnostic Pathology Medical Group, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Diagnostic Pathology Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 6, 2020 Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc. Past Accepting new patients
Diagnostic Pathology Medical Group Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11815 Education St
Auburn, CA 95602
Phone (530) 447-6267

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

2801 K St
Ste 235
Sacramento, CA 95816
Phone (916) 733-5073

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2420 J St
Sacramento, CA 95816
Phone (916) 446-0424

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

3301 C St
Ste 200E
Sacramento, CA 95816
Phone (916) 446-0424

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1710373147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163363",
            "telephone_number": "949-202-9648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETOODEH",
        "first_name": "SASAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A163655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.