Active NPI
Sadeed Jawad, M.D
- Psychiatry Physician
- La Verne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A163296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720474281 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A163296 | CA | MD | Psychiatry Physician |
| 60779046 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- San Dimas, CA
- NPI 1487597357
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.