Saddleback Valley Surgical-Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

W1452 Issued in CA

Legal business name

SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP

Practice address

26732 Crown Valley Pkwy
Suite 351
Mission Viejo, CA 92691-6306

Phone

(949) 364-1007

Fax

(949) 364-0317

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Annette Hansen

Title

Bus Admin

Phone

(949) 364-1007

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda S Rogers, RN

  • Registered Nurse
  • Mission Viejo, CA
  • NPI 1215938717
  NPD
• Brian C Barbick, M.D.

  • Surgery Physician
  • San Diego, CA
  • NPI 1487694014
  NPD (past)
• Navjot Kaur, PA

  • Physician Assistant
  • Stanford, CA
  • NPI 1184783813
  NPD (past)
• Peter James Mazolewski, M.D.

  • Surgery Physician
  • Walnut Creek, CA
  • NPI 1710076773
  NPD (past)
• Marcello A Borzatta, MD

  • Vascular Surgery Physician
  • Crestview, FL
  • NPI 1154368181
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1871593079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 351",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1007",
            "fax_number": "949-364-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 351",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1007",
            "fax_number": "949-364-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "BUS ADMIN",
        "authorized_official_telephone_number": "949-364-1007"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "W1452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71131Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S Veshkini Orthodontics Inc
• Rachel Sabbagh, RN, PMHCNS-BC
• Elliot M Sacks, M.D.
• Sacred Heart Assisted Living, Inc. (Sacred Heart Assisted Living)
• Saddleback Dental Associates
• Saddleback Valley Usd
• Pareesa Safaei, RN
• Foozhan Safavi
• Sahar Saghafi, FNP
• Sahawneh Dental Corporation (Bright Now Dental - Mission Viejo)

• Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.