Nidia Maria Colomer de Saca, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G606970 Issued in CA

Practice address

5343 Riverside Dr
Chino, CA 91710-4252

Phone

(909) 465-2077

Fax

(909) 627-8106

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Psychiatry

Education

George Washington University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Doctors Medical Plaza Inc

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1831700970
  NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790880854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-465-2077",
            "fax_number": "909-627-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-465-2077",
            "fax_number": "909-627-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMER DE SACA",
        "first_name": "NIDIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G606970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G606970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Rose Cole
• Sean Fitzgerald Coleman, PA-C
• Cynthia Ann Coles, M.D.
• Rochell Colflesh
• Robin Sheridan Collier, L.AC.
• Communication a to Z
• Community Dental Services (SmileCare Dental Group)
• Community Dental Services
• Complete Care California
• Complete Care California

• Psychiatry Physician in Chino, CA
• Providers in Chino, CA by specialty
• Psychiatry Physician in California

• 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.
• 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.