Active NPI
SDS Clinical Trials LLC
- Neurology Physician
- Santa Ana, CA
National Provider Identifier
1760071252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- SDS CLINICAL TRIALS LLC
- Practice address
- 1535 E 17TH St Ste 101
Santa Ana, CA 92705-8519 - Phone
- (714) 834-1565
- Fax
- (714) 834-1551
- NPI assigned
- Jan 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nanci Hook Seid
- Title
- President/Ceo
- Phone
- (148) 341-5657
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
1535 E 17TH St Ste 101
Santa Ana, CA 92705-8519
Mailing address
1535 E 17TH St Ste 101
Santa Ana, CA 92705-8519
Phone (714) 834-1565
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1081468 | SDS Clinical Trials | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
1535 E 17th St
Ste 101
Santa Ana, CA 92705
Phone (714) 834-1565
1535 E 17th St
Santa Ana, CA 92705
Phone (714) 941-8009
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Santa Ana, CA
- NPI 1679662852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1760071252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 E 17TH ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058519",
"telephone_number": "714-834-1565",
"fax_number": "714-834-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 E 17TH ST STE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058519",
"telephone_number": "714-834-1565",
"fax_number": "714-834-1551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SDS CLINICAL TRIALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "HOOK SEID",
"authorized_official_first_name": "NANCI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "148-341-5657"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.