Michael Safradin, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95007341 Issued in CA

Practice address

4549 Angeles Ave
Fremont, CA 94536-5428

Phone

(510) 209-7735

NPI assigned

Oct 7, 2017

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1104247659
  NPD (past)

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

{
    "created_epoch": "1507334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1962912667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 ANGELES AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365428",
            "telephone_number": "510-209-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 ANGELES AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365428",
            "telephone_number": "510-209-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRADIN",
        "first_name": "MICHAEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-07",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95007341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc
• Sahar Saffi, RDN
• Aabedah Safi
• Shogofa Safi
• Yasmine Zahra Safinya-Davies
• Courtney Blake Sage, LCSW
• Sah Orthopaedic Associates
• Sah Orthopaedic Associates
• Alexander P Sah, MD
• Sapna Saha, MS, AMFT

• Psychiatric/Mental Health Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; 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.