Individual provider Active NPI

Sadia Chohan

  • Physician Assistant
  • Cerritos, CA
National Provider Identifier
1811532195
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58292 Issued in CA
Practice address
21750 Ctr CT Dr S
Cerritos, CA 90703
Phone
(323) 628-8671
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58292 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

21750 Ctr CT Dr S
Cerritos, CA 90703

Mailing address

1329 N Maple St
Anaheim, CA 92801-1635
Phone (714) 240-5848

Other practice location 1

1329 N Maple St
Anaheim, CA 92801-1635
Phone (714) 240-5848

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015001230 CA Practitioner - Physician Assistant 6406388545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pouya Afshar MD IncGroup PAC ID 1557656337, 19 clinicians
Zaghi Medical IncGroup PAC ID 9931555141, 21 clinicians

Practice addresses (Care Compare)

3111 Camino del Rio N
Suite 625
San Diego, CA 92108-5718
Phone (619) 738-5566

350 Parnassus Ave
700B
San Francisco, CA 94117-3608
Phone (424) 600-8360

5665 Wilshire Blvd
Suite 1609
Los Angeles, CA 90036-3710
Phone (209) 372-7025

7801 Mission Ctr CT
Suite 310
San Diego, CA 92108-1316
Phone (619) 738-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58292CAMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: schohan@landmarkhealth-direct.org

Organizations & group practices 2

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1811532195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N MAPLE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011635",
            "telephone_number": "714-240-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 CTR CT DR S",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "323-628-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011635",
            "country_code": "US",
            "telephone_number": "714-240-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOHAN",
        "first_name": "SADIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58292",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.