Individual provider Active NPI

Sadeed Jawad, M.D

  • Psychiatry Physician
  • La Verne, CA
National Provider Identifier
1720474281
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A163296 Issued in CA
Practice address
2347 Daybreak Dr
La Verne, CA 91750-1740
Phone
(978) 578-9104
NPI assigned
Apr 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60779046 WA
Psychiatry Physician 2084P0800X A163296 CA Primary

Addresses

Primary practice location

2347 Daybreak Dr
La Verne, CA 91750-1740

Mailing address

2347 Daybreak Dr
La Verne, CA 91750-1740
Phone (978) 578-9104

Other practice location 1

9329 Martin Way E Unit M
Olympia, WA 98516-5738
Phone (978) 578-9104

Other practice location 2

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 499-6580

Other practice location 3

3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-8918

Other practice location 4

4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9171

Other identifiers 1

IdentifierTypeStateIssuer
1720474281MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163296CAMDPsychiatry Physician
60779046WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartfelt Psychiatry Psychiatry Current Accepting new patients

Organizations & group practices 1

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": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1720474281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 DAYBREAK DR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501740",
            "telephone_number": "978-578-9104",
            "fax_number": "916-581-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 DAYBREAK DR",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917501740",
            "telephone_number": "978-578-9104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9329 Martin Way E Unit M",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985165738",
            "country_code": "US",
            "telephone_number": "978-578-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-499-6580",
            "fax_number": "559-499-6581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-8918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAWAD",
        "first_name": "SADEED",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "60779046",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720474281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.