Sussan Saboor, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A90209 Issued in CA

Practice address

3221 Rapallo PL
El Dorado Hills, CA 95762-5463

Phone

(916) 220-6485

Fax

(916) 941-8311

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1922389774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 RAPALLO PL",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625463",
            "telephone_number": "916-220-6485",
            "fax_number": "916-941-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 RAPALLO PL",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625463",
            "telephone_number": "916-220-6485",
            "fax_number": "916-941-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOOR",
        "first_name": "SUSSAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S. Jang DDS Incorporated (Smile Time Dental)
• S. Van Derwood, Licensed Clinical Social Worker, Inc
• S.Y. Jang DDS Corporatiom (Make A Smile)
• S.Y.Y Jang DDS Corp (Kids Dentist Plus)
• Neil Saboor
• Sacramento Addiction Rehab LLC
• Sacramento River Healthcare LLC (First Call Hospice South)
• Alisha Sadiq
• Jillian Saenz
• Safeway Inc (Safeway Pharmacy #0748)

• Internal Medicine Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.