Organization Active NPI

S. Ali Safi, M.D. Pediatrics

  • Primary Care Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1962496273
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0054100 Issued in FL
Legal business name
S. ALI SAFI, M.D. PEDIATRICS
Practice address
9770 Old Baymeadows Rd
#109
Jacksonville, FL 32256-7909
Phone
(904) 564-2700
Fax
(904) 564-2800
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Seied Ali Safi, MD/ PERDIATRICANNPI 1871864561
Title
Doctor
Phone
(904) 564-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0054100 FL Primary

Addresses

Primary practice location

9770 Old Baymeadows Rd
#109
Jacksonville, FL 32256-7909

Mailing address

8017 Woodgrove Rd
Jacksonville, FL 32256-7242
Phone (904) 564-2700

Other identifiers 3

IdentifierTypeStateIssuer
5805026OtherFLAETNA
08314OtherFLBLUE CROSS BLUE SHIELD
061396700MedicaidFL

National Provider Directory

National Provider Directory

Locations

9770 Old Baymeadows Rd
Ste 109
Jacksonville, FL 32256
Phone (904) 564-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1962496273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 WOODGROVE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567242",
            "telephone_number": "904-564-2700",
            "fax_number": "904-564-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 OLD BAYMEADOWS RD",
            "address_2": "#109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567909",
            "telephone_number": "904-564-2700",
            "fax_number": "904-564-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. ALI SAFI, M.D. PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SAFI",
        "authorized_official_first_name": "SEIED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-564-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/ PERDIATRICAN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0054100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5805026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08314",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061396700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.