Individual provider Active NPI

Agha Seemab Haider, MPH

  • Phlebotomy Technician
  • San Francisco, CA
National Provider Identifier
1952165441
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
CPT-02388966 Issued in CA
Practice address
2460 22ND St
Ward 94
San Francisco, CA 94110-2815
Phone
(628) 206-3385
Fax
(628) 206-4565
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X CPT-02388966 CA Primary

Addresses

Primary practice location

2460 22ND St
Ward 94
San Francisco, CA 94110-2815

Mailing address

1001 Potrero Ave BLDG 904TH
San Francisco, CA 94110-3594
Phone (628) 206-3385

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
CPT-02388966CAMDPhlebotomy Technician

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1952165441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE BLDG 904TH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103594",
            "telephone_number": "628-206-3385",
            "fax_number": "628-206-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 22ND ST",
            "address_2": "WARD 94",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102815",
            "telephone_number": "628-206-3385",
            "fax_number": "628-206-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "AGHA",
        "middle_name": "SEEMAB",
        "name_prefix": "Mr.",
        "credential": "MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT-02388966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.