Sahar Dastgerdi Asadinik, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27976 Issued in CA

Practice address

1101 California Ave Ste 100
Corona, CA 92881-6472

Phone

(951) 523-0507

Fax

(951) 905-1701

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sahar Mokari Dastgerdi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aliuddin Khaja, MD., Inc

  dba Choice Psychiatric Medical Group

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Corona, CA
  • NPI 1770889545
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1982786034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "951-523-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CALIFORNIA AVE STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816472",
            "telephone_number": "951-523-0507",
            "fax_number": "951-905-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 Magnolia Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793109",
            "country_code": "US",
            "telephone_number": "951-356-5414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Magnolia Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928793157",
            "country_code": "US",
            "telephone_number": "951-523-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASADINIK",
        "first_name": "SAHAR",
        "middle_name": "DASTGERDI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAHAR",
            "last_name": "DASTGERDI",
            "middle_name": "MOKARI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Parisa Asadnejad
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• Andrea Ascio
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• Clinical Psychologist in Corona, CA
• Providers in Corona, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.