Individual provider Active NPI

Farid Saadat, MD

  • Internal Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1891767935
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A497820 Issued in CA
Practice address
425 Diamond Drive
Suite 102
Lake Elsinore, CA 92530-4561
Phone
(951) 471-5711
Fax
(951) 471-5713
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A497820 CA Primary

Addresses

Primary practice location

425 Diamond Drive
Suite 102
Lake Elsinore, CA 92530-4561

Mailing address

425 Diamond Drive
Suite 102
Lake Elsinore, CA 92530-4561
Phone (951) 471-5711

Other identifiers 1

IdentifierTypeStateIssuer
00A497820MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000418 CA Practitioner - Internal Medicine 4082785522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 Diamond Dr
Suite 102
Lake Elsinore, CA 92530-4495
Phone (951) 471-5711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A497820CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGFCA/Endpoint/DFGFCA
  • Direct secure messaging: farid.saadat@fsmi.eclinicaldirectplus.com

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1891767935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DRIVE",
            "address_2": "SUITE 102",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-5711",
            "fax_number": "951-471-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 DIAMOND DRIVE",
            "address_2": "SUITE 102",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304561",
            "telephone_number": "951-471-5711",
            "fax_number": "951-471-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAADAT",
        "first_name": "FARID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A497820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A497820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

Verify at the official NPI Registry.