Active NPI
Saba Motakef, MD
- Plastic Surgery Physician
- Anaheim, CA
National Provider Identifier
1942629092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A138724
- Practice address
- 500 S Anaheim Hills Rd Ste 242
Anaheim, CA 92807-4760 - Phone
- (714) 935-8932
- NPI assigned
- Apr 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A138724 | CA | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A138724 | CA |
Addresses
Primary practice location
500 S Anaheim Hills Rd Ste 242
Anaheim, CA 92807-4760
Mailing address
500 S Anaheim Hills Rd
Ste 242
Anaheim, CA 92807-4760
Phone (714) 941-9055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 27, 2022 through Jul 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A138724 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Skin Health PC | Plastic Surgery | Past | Accepting new patients |
Interoperability endpoints
- smotakef72666@direct.llu.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608940800000",
"number": "1942629092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S ANAHEIM HILLS RD",
"address_2": "STE 242",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074760",
"telephone_number": "714-941-9055",
"fax_number": "714-941-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S ANAHEIM HILLS RD STE 242",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928074760",
"telephone_number": "714-935-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAKEF",
"first_name": "SABA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2020-12-26",
"certification_date": "2020-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A138724",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A138724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.