Organization Active NPI

Bashar G Saad MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • San Dimas, CA
National Provider Identifier
1881906568
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A52007 Issued in CA
Legal business name
BASHAR G SAAD MD INC
Practice address
615 E Foothill Blvd Ste C
San Dimas, CA 91773-1255
Phone
(626) 335-8094
Fax
(626) 335-1874
NPI assigned
Jul 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Bashar Saad, MDNPI 1275611360
Title
Owner
Phone
(626) 335-8094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X A52007 CA Primary

Addresses

Primary practice location

615 E Foothill Blvd Ste C
San Dimas, CA 91773-1255

Mailing address

615 E Foothill Blvd Ste C
San Dimas, CA 91773-1255
Phone (626) 335-8094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100918000190 CA Part B Supplier - Clinic/Group Practice 7810012523 Receives reassigned benefits from 4 practitioners
Practice locations: San Bernardino, CA; San Dimas, CA; Upland, CA

National Provider Directory

National Provider Directory

Locations

802 Magnolia Ave
Ste 200
Corona, CA 92879
Phone (951) 444-7006

164 W Hospitality Ln
Ste 119
Sn Bernrdno, CA 92408
Phone (909) 882-1210

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1881906568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E FOOTHILL BLVD STE C",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731255",
            "telephone_number": "626-335-8094",
            "fax_number": "626-335-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E FOOTHILL BLVD STE C",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731255",
            "telephone_number": "626-335-8094",
            "fax_number": "626-335-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHAR G SAAD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-335-8094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A52007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.