Individual provider Active NPI

Sasa Milosevic

  • Clinical & Laboratory Immunology (Internal Medicine) Physician
  • Los Alamitos, CA
National Provider Identifier
1922816628
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Internal Medicine) PhysicianTaxonomy code 207RI0001X
License
00351789 Issued in CA
Practice address
10841 Noel St Ste 110
Los Alamitos, CA 90720-6701
Phone
(310) 922-0936
NPI assigned
Dec 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X 00351789 CA Primary

Addresses

Primary practice location

10841 Noel St Ste 110
Los Alamitos, CA 90720-6701

Mailing address

10841 Noel St Ste 110
Los Alamitos, CA 90720-6701
Phone (310) 922-0936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00351789CAMDClinical & Laboratory Immunology (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1922816628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 NOEL ST STE 110",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206701",
            "telephone_number": "310-922-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 NOEL ST STE 110",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206701",
            "telephone_number": "310-922-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSEVIC",
        "first_name": "SASA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "CA",
            "license": "00351789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.