Individual provider Active NPI

Philip D. Sardar, MD

  • Hematology & Oncology Physician
  • Folsom, CA
National Provider Identifier
1912079724
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C50312 Issued in CA
Practice address
1631 Creekside Dr Ste 102
Folsom, CA 95630-3820
Phone
(916) 250-0377
Fax
(916) 250-0378
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C50312 CA Primary

Addresses

Primary practice location

1631 Creekside Dr Ste 102
Folsom, CA 95630-3820

Mailing address

1631 Creekside Dr Ste 102
Folsom, CA 95630-3820
Phone (916) 250-0377

Other practice location 1

1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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
I20110509000697 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 1153507181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1631 Creekside Dr
Suite 102
Folsom, CA 95630-3820
Phone (916) 250-0377

310 Hartnell Ave
Suite Aandc
Redding, CA 96002-1800
Phone (530) 245-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50312CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology and Oncology Associates of Northern California Hematology & Oncology CurrentSince Aug 16, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Nov 10, 2010 Accepting new patients
Dignity Health CurrentSince Jan 23, 2024 Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 10, 2010 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Jan 23, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

9390 Big Horn Blvd
Ste 145
Elk Grove, CA 95758
Phone (916) 573-1549

1631 Creekside Dr
Ste 102
Folsom, CA 95630
Phone (916) 250-0377

1800 Harrison St
Fl 7
Oakland, CA 94612

2340 Liberty Pkwy
Ste 200
Red Bluff, CA 96080
Phone (530) 529-6010

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Interoperability endpoints

  • Direct secure messaging: philip.sardar@mercy.ikm.direct-ci.com

Organizations & group practices 7

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 6

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1912079724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 CREEKSIDE DR STE 102",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303820",
            "telephone_number": "916-250-0377",
            "fax_number": "916-250-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 CREEKSIDE DR STE 102",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303820",
            "telephone_number": "916-250-0377",
            "fax_number": "916-250-0378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613027",
            "country_code": "US",
            "telephone_number": "916-784-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARDAR",
        "first_name": "PHILIP",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "C50312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1600 Eureka Rd",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956613027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.