Individual provider Active NPI

Saeed Eskandari, M.D.

  • Internal Medicine Physician
  • Indio, CA
National Provider Identifier
1902092042
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79114 Issued in CA
Practice address
81709 Dr Carreon Blvd Ste C4
Indio, CA 92201-5577
Phone
(760) 347-0112
Fax
(760) 894-0142
NPI assigned
Sep 21, 2007
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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 A79114 CA Primary

Addresses

Primary practice location

81709 Dr Carreon Blvd Ste C4
Indio, CA 92201-5577

Mailing address

81709 Dr Carreon Blvd Ste C4
Indio, CA 92201-5577
Phone (760) 347-0112

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
I20040803001494 CA Practitioner - Internal Medicine 2668443649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sems Medical Partners IncGroup PAC ID 3476904350, 2 clinicians

Practice addresses (Care Compare)

81709 Doctor Carreon Blvd
Suite C4
Indio, CA 92201-5577
Phone (760) 347-0112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79114CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Group Services PC CurrentSince Feb 5, 2015 Accepting new patients
Sems Medical Partners Inc Internal Medicine CurrentSince Nov 20, 2023 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jun 29, 2014 Accepting new patients
Mission City Community Network, Inc. CurrentSince Jun 29, 2014 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Sanjay Verma, MD a Professional Corporation Past Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81709 Doctor Carreon Blvd
Ste C4
Indio, CA 92201
Phone (760) 342-8181

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009

15206 Parthenia St
Sepulveda, CA 91343

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHGEDD
  • Direct secure messaging: saeed.eskandari.1@28715.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1902092042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-0112",
            "fax_number": "760-894-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81709 DR CARREON BLVD STE C4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015577",
            "telephone_number": "760-347-0112",
            "fax_number": "760-894-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDARI",
        "first_name": "SAEED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

Verify at the official NPI Registry.