Individual provider Active NPI

Nadra Monica Saad, M.D.

  • Pediatrics Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1790701886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C42961 Issued in CA
Practice address
501 Deep Valley Dr
Suite 210
Rolling Hills Estates, CA 90274-7605
Phone
(310) 544-6858
Fax
(310) 544-6855
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C42961 CA Primary

Addresses

Primary practice location

501 Deep Valley Dr
Suite 210
Rolling Hills Estates, CA 90274-7605

Mailing address

PO Box 4019
Rolling Hills Estates, CA 90274-9552
Phone (310) 544-6858

Other identifiers 1

IdentifierTypeStateIssuer
WC42961COtherPPIN

Other names 1

  • Monica Nadra Saad Other name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42961CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence D Sher M D Inc Pediatrics Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790701886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4019",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902749552",
            "telephone_number": "310-544-6858",
            "fax_number": "310-544-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DEEP VALLEY DR",
            "address_2": "SUITE 210",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902747605",
            "telephone_number": "310-544-6858",
            "fax_number": "310-544-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "NADRA",
        "middle_name": "MONICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C42961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WC42961C",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "SAAD",
            "middle_name": "NADRA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.