Active NPI
Sanaz Taghizadeh, PA
- Medical Physician Assistant
- Irvine, CA
National Provider Identifier
1720860075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA63079
- Practice address
- 6825 Quail Hill Pkwy
Irvine, CA 92603-4234 - Phone
- (949) 854-8378
- NPI assigned
- Oct 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA63079 | CA | Primary |
Addresses
Primary practice location
6825 Quail Hill Pkwy
Irvine, CA 92603-4234
Mailing address
28521 Rancho Grande
Laguna Niguel, CA 92677-7436
Phone (949) 485-0544
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63079 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1720860075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28521 RANCHO GRANDE",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777436",
"telephone_number": "949-485-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 QUAIL HILL PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926034234",
"telephone_number": "949-854-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGHIZADEH",
"first_name": "SANAZ",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-19",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA63079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.