Individual provider Active NPI

Mirwais Saifi, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1750516753
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A120802 Issued in CA
Practice address
6280 Jackson Dr Ste 8
Center for Family Health
San Diego, CA 92119-3436
Phone
(619) 464-1608
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021118 VA
Family Medicine Physician 207Q00000X A120802 CA Primary

Addresses

Primary practice location

6280 Jackson Dr Ste 8
Center for Family Health
San Diego, CA 92119-3436

Mailing address

7660 Via Cristal Unit 3
San Diego, CA 92129-4680
Phone (858) 829-8899

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
I20121015000003 CA Practitioner - Family Practice 4880867779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pouya Afshar MD IncGroup PAC ID 1557656337, 19 clinicians

Practice addresses (Care Compare)

10158 Buena Vista Ave
Santee, CA 92071-4435
Phone (619) 562-1140

7801 Mission Ctr CT
Suite 310
San Diego, CA 92108-1316
Phone (619) 738-5566

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120802CAMDFamily Medicine Physician
0116021118VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. Family Medicine CurrentSince May 12, 2014 Accepting new patients
Pouya Afshar MD Inc CurrentSince Aug 18, 2016 Accepting new patients
Care for You Clinic Apc Family Medicine CurrentSince Mar 10, 2021 Accepting new patients
Vertical Vein Corp PastSince Jul 1, 2016 Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566

10158 Buena Vista Ave
Santee, CA 92071
Phone (619) 562-1140

Interoperability endpoints

  • Direct secure messaging: mirwais.saifi.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: msaifi34090@sharphealthcare.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1750516753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 VIA CRISTAL UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294680",
            "telephone_number": "858-829-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DR STE 8",
            "address_2": "CENTER FOR FAMILY HEALTH",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193436",
            "telephone_number": "619-464-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIFI",
        "first_name": "MIRWAIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021118",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A120802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.