DR. SAFEDIN BEQAJ (NPI# 1831728831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831728831 |
| Entity Type | Individual |
| Full Name | DR. SAFEDIN BEQAJ |
| Practice Address |
12634 Hoover St Garden Grove CA 92841-4165 |
| Mailing Address |
63 Diamond Irvine CA 92620-2143 |
| Practice Telephone | 9492080521 |
| Mailing Telephone | 8477693701 |
| Mailing Fax Number | 9493124227 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | DRG-01003091 | CA | Other Service Providers |
| N | 291U00000X | Clinical Medical Laboratory | 2050317 | CA | Laboratories |
| Street Address |
12634 HOOVER ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407878358 | Sdi Labs, Inc | Clinical Medical Laboratory | 12634 Hoover St, Garden Grove, CA 92841-4165 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134163223 | Ki Hong Choe | Medical Genetics, Ph.D. Medical Genetics | 9535 Garden Grove Blvd, Suite #103, Garden Grove, CA 92844-1550 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132767 | Deaunne Denmark | Medical Genetics, Ph.D. Medical Genetics | 373 S Monroe St Ste 202, San Jose, CA 95128-5126 | 2020-04-13 |
| 1578012498 | Andre Turner | Medical Genetics, Ph.D. Medical Genetics | 120 N 13th Ave Apt D, Upland, CA 91786-5584 | 2016-10-04 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1124496690 | Renz Lorenz Gatchalian | Medical Genetics, Ph.D. Medical Genetics | 2416 W Tennyson Rd Apt 308, Hayward, CA 94545-4158 | 2015-09-14 |
| 1285902080 | Gail Humble | Medical Genetics, Ph.D. Medical Genetics | 101 N PCh Hwy Ste 102, Redondo Beach, CA 90277-3149 | 2011-12-07 |
| 1598040784 | Maternal Fetal Medicine Medical Group of Southern California | Medical Genetics, Ph.D. Medical Genetics | 207 S. Santa Anita Street, Suite 338, Sangabriel, CA 91776-1160 | 2011-10-19 |
| 1518129048 | Dr Brian F Topkis A Medical Group | Medical Genetics, Ph.D. Medical Genetics | 2021 Mt Diablo Blvd #100, Walnut Creek, CA 94596 | 2008-06-26 |
| 1396946224 | Ramiro Futalan Sr. | Medical Genetics, Ph.D. Medical Genetics | 8292 Telegraph Rd, Downey, CA 90240-2277 | 2007-05-29 |
| 1518178110 | Fatolah Ferdowsian | Medical Genetics, Ph.D. Medical Genetics | 8845 E Crestview Ln, Anaheim, CA 92808-1664 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.