NPIMap

Individual provider Active NPI

Shahin Abraham Sadik, M.D., QME.

  • Specialist
  • Palmdale, CA
National Provider Identifier
1801884093
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G72668 Issued in CA
Practice address
819 Auto Center Drive
Palmdale, CA 93551
Phone
(661) 267-6876
Fax
(661) 538-9483
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G72668 CA Primary

Addresses

Primary practice location

819 Auto Center Drive
Palmdale, CA 93551

Mailing address

819 Auto Center Drive
Palmdale, CA 93551
Phone (661) 267-6876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000799 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9830177658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Eastern Virginia Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Pain Management Medical CorporationGroup PAC ID 1759369572, 10 clinicians

Practice addresses (Care Compare)

16179 Siskiyou CT
Apple Valley, CA 92307-1447
Phone (760) 241-0350

25805 Barton Rd
A106
Loma Linda, CA 92354-3814
Phone (760) 241-0350

819 Auto Ctr Dr
Palmdale, CA 93551-4599

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
54.44
Improvement activities
40
Cost
76.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72668CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Pain Management Medical Corporation Specialist CurrentSince Sep 1, 2001 Accepting new patients
Universal Pain Management Medical Corp CurrentSince Sep 1, 2001 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Oasis Surgery Center, LP PastSince Jun 30, 2022 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Physicians' Surgery Center of Victorville LLC PastSince Feb 6, 2004 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

16179 Siskiyou Rd
Apple Valley, CA 92307
Phone (661) 267-6876

819 Auto Center Dr
Palmdale, CA 93551
Phone (661) 267-6876

5000 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 580-2285

4835 Van Nuys Blvd
Ste 210
Sherman Oaks, CA 91403
Phone (818) 784-1354

28212 Kelly Johnson Pkwy
Ste 155
Valencia, CA 91355
Phone (661) 367-9788

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1801884093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AUTO CENTER DRIVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "93551",
            "telephone_number": "661-267-6876",
            "fax_number": "661-538-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIK",
        "first_name": "SHAHIN",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D., QME.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.