Sadick J Alsadir, MD
Individual provider Active NPI Internal Medicine Physician · Menlo Park, CA
NPI 1861563017 · NPPES record last updated Sep 17, 2007
Key facts
- NPI
- 1861563017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A60696 (CA)
- Practice address
- 795 Willow Rd BLDG 334
Menlo Park, CA 94025-2539 - Phone
- (650) 599-3890
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60696 | CA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A60696 | CA | Yes |
Addresses
Primary practice location
795 Willow Rd BLDG 334
Menlo Park, CA 94025-2539
Mailing address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone (650) 573-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A606960 | Medicaid | CA |
Other providers in Menlo Park, CA
- Fathima Ali
- Anne Allclair
- Angileny Aloba
- Alok Arora, DMD, PC
- Connie Margarita Alonzo-Frisz
- Julie Altschuler
- Ziya Altug
- Debra Alvarado
- Jennifer Alicia Alvarez
- American Hearing Aid Center LLC
All providers in Menlo Park, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.