Individual provider Active NPI

Sandra Haider, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1992369060
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5851 Issued in CA
Practice address
29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616
Phone
(949) 209-9590
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5851 CA Primary

Addresses

Primary practice location

29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616

Mailing address

29839 Santa Margarita Pkwy Ste 100
Rancho Santa Margarita, CA 92688-3616
Phone (949) 209-9590

Other practice location 1

400 Newport Center Dr Ste 706
Newport Beach, CA 92660-7661
Phone (949) 706-3838

Other names 1

  • Ms. Sandra Tallat Farmand Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001915 CA Practitioner - Podiatry 3870822760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visoth Chan DPM IncGroup PAC ID 6002230901, 4 clinicians

Practice addresses (Care Compare)

26732 Crown Valley Pkwy
Suite 317
Mission Viejo, CA 92691-6374
Phone 9493642525105

27725 Santa Margarita Pkwy
Suite 201
Mission Viejo, CA 92691-6707
Phone (949) 209-9590

Merit-based Incentive Payment System (MIPS)

Final score
83.27 of 100Reported as individual
Quality
66.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue600
Removal or shaving of skin growth403
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5851CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pristine Foot and Ankle Foot & Ankle Surgery CurrentSince Sep 12, 2022 Accepting new patients
Visoth Chan, D.P.M., Inc. Foot & Ankle Surgery CurrentSince Oct 16, 2023 Accepting new patients
My Foot Clinic, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Providence Podiatry Care, Inc Foot & Ankle Surgery CurrentSince Nov 2, 2022 Accepting new patients
Shawn S Rabbani DPM Inc PastSince Oct 1, 2022 Accepting new patients
Providence Podiatry Care, Inc. Foot & Ankle Surgery Past Accepting new patients
Victor V Cachia DPM Inc Past Accepting new patients

Locations

18022 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-3668

27725 Santa Margarita Pkwy
Ste 201
Mission Viejo, CA 92691
Phone (949) 209-9590

26732 Crown Valley Pkwy
Ste 317
Mission Viejo, CA 92691
Phone (949) 364-2525

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

29839 Santa Margarita Pkwy
Ste 100
Rcho Sta Marg, CA 92688
Phone (949) 683-5411

18909 Sherman Way
Ste B
Reseda, CA 91335
Phone (818) 344-6300

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sandra.haider.1@19214.direct.athenahealth.com

Organizations & group practices 7

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1992369060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616",
            "telephone_number": "949-209-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29839 SANTA MARGARITA PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883616",
            "telephone_number": "949-209-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Newport Center Dr Ste 706",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607661",
            "country_code": "US",
            "telephone_number": "949-706-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "FARMAND",
            "middle_name": "TALLAT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.