Individual provider Active NPI

Saeed Nick, MD

  • Interventional Pain Medicine Physician
  • La Mirada, CA
National Provider Identifier
1720245996
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A123357 Issued in CA
Practice address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone
(562) 921-0341
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 205846 LA
Neurology Physician 2084N0400X 60619-20 WI
Neurology Physician 2084N0400X A123357 CA
Interventional Pain Medicine Physician 208VP0014X A123357 CA Primary
Interventional Pain Medicine Physician 208VP0014X 60619-20 WI

Addresses

Primary practice location

16702 Valley View Ave
La Mirada, CA 90638-5824

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (562) 921-0341

Other identifiers 2

IdentifierTypeStateIssuer
266682YH54OtherLAMEDICARE - PTAN
1062413MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014002488 CA Practitioner - Neurology 5597910661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (562) 921-0341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123357CAMDNeurology Physician
205846LAMDNeurology Physician
60619-20WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Jun 7, 2014 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Sep 27, 2014 Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients

Locations

1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

1171 Railroad St
Corona, CA 92882
Phone (951) 272-1400

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1720245996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "562-921-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "562-921-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICK",
        "first_name": "SAEED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "205846",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "60619-20",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A123357",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A123357",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": "60619-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PTAN",
            "identifier": "266682YH54",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062413",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.