Mohammad-Reza Keyvan Safdari, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G73618 Issued in CA

Practice address

400 N Pepper Ave
Anesthesia, Second Floor
Colton, CA 92324-1801

Phone

(909) 580-2440

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Empire Anesthesia Medical Group, IncGroup PAC ID 1052310331, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Empire Anesthesia Medical Group, Inc

  • Anesthesiology Physician
  • Colton, CA
  • NPI 1861502841
  Medicare reassignment Care Compare group NPD
• Kris J Storkersen M D Inc

  • Ophthalmology Physician
  • Colton, CA
  • NPI 1679100721
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of San Bernardino

  dba Arrowhead Regional Medical Center

  • General Acute Care Hospital
  • Colton, CA
  • NPI 1720158009
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1760621874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27910 MOUNT RAINIER WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "ANESTHESIA, SECOND FLOOR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDARI",
        "first_name": "MOHAMMAD-REZA",
        "middle_name": "KEYVAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G73618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siamak Saadat, M.D.
• Adrian Sabalboro
• Sarah Sadeghi, P.A.-C
• Sabrina Renee Sadighi, PA
• Edward M Sadovsky
• Safeway Transportation
• Ramy Tharwat Said
• Lauren Saieva
• Alexander Wanis Saikaly, MD
• Minerva Sajjadi, LC SOCIAL WORKER

• Anesthesiology Physician in Colton, CA
• Providers in Colton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.