NPIMap

Individual provider Active NPI

Magdi Sabri Elsaadi, MD

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1902876683
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49507 Issued in CA
Practice address
2015 N Waterman Ave Ste a
San Bernardino, CA 92404-4810
Phone
(909) 557-0135
Fax
(909) 886-1798
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 A49507 CA Primary

Addresses

Primary practice location

2015 N Waterman Ave Ste a
San Bernardino, CA 92404-4810

Mailing address

2015 N Waterman Ave Ste a
San Bernardino, CA 92404-4810
Phone (909) 881-9918

Other identifiers 1

IdentifierTypeStateIssuer
00A495070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000293 CA Practitioner - Internal Medicine 4082787551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1738 N Waterman Ave
Suite 7
San Bernardino, CA 92404-5131
Phone (909) 881-9918

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49507CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Family Physicians Medical Associates, Inc. Current Accepting new patients
Redlands Family Practice Medical Group Inc. CurrentSince Sep 1, 2019 Accepting new patients
Magdi Elsaadi M.D. a Professional Medical Corporation Internal Medicine CurrentSince Oct 23, 2019 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1520 Barton Rd
Redlands, CA 92373
Phone (909) 793-3208

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

1738 N Waterman Ave
Ste 7
Sn Bernrdno, CA 92404
Phone (909) 557-0135

2015 N Waterman Ave
Ste A
Sn Bernrdno, CA 92404
Phone (909) 557-0135

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCJBD/Endpoint/FGCJBD

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 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1902876683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 N WATERMAN AVE STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044810",
            "telephone_number": "909-881-9918",
            "fax_number": "909-881-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N WATERMAN AVE STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044810",
            "telephone_number": "909-557-0135",
            "fax_number": "909-886-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAADI",
        "first_name": "MAGDI",
        "middle_name": "SABRI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A495070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.