SADIQ MIRZA (NPI# 1194166298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194166298 |
| Entity Type | Individual |
| Full Name | SADIQ MIRZA |
| Credential | D.O. |
| Practice Address |
1330 E Cooley Dr Colton CA 92324 |
| Mailing Address |
400 N Pepper Ave Colton CA 92324-1801 |
| Practice Telephone | 9095803705 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A13455 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1194166298 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Pepper Ave, Colton, CA 923241801 | 9095803830 |
| Street Address |
1330 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457459877 | Randall Lyle Kerr | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2006-09-20 |
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1255957486 | Dpartment of Behavioral Health | Clinic/Center | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1437658929 | Mary Sodiyan | Registered Nurse | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2018-02-09 |
| 1982124897 | Elizabeth Marie Maldonado | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-21 |
| 1346778446 | Zachary Robert Eckert | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-01 |
| 1972030575 | Angel Magallanes | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-05-15 |
| 1740720580 | Melissa Daniels | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538204359 | Thomas Wei Guo Bai | Psychiatry & Neurology | 400 N Pepper Ave # Bh, Colton, CA 92324-1801 | 2007-02-20 |
| 1306408000 | Cep America - Psychiatry PC | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-07-02 |
| 1669911095 | Steven Co | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-02-17 |
| 1154778934 | Jacquelyn Dang | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-05-20 |
| 1417303207 | Osmond Waheed | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2016-05-11 |
| 1124409610 | Ambarin Salma Faizi | Psychiatry & Neurology | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2015-06-10 |
| 1245610948 | David Ngo | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2015-06-08 |
| 1285074559 | Lindy Lay | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-07-01 |
| 1962744417 | Derick L Ly | Psychiatry & Neurology | 400 N Pepper Ave, Behavioral Health, Colton, CA 92324-1801 | 2013-03-22 |
| 1871721647 | Denise Renee Persichino | Psychiatry & Neurology | 400 N Pepper Ave, Colton, CA 92324-1801 | 2009-06-30 |
| Find all providers in COLTON | ||||
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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.