Healthcare Provider Details

I. General information

NPI: 1225298870
Provider Name (Legal Business Name): PAYAM SAADAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 STOCKTON BLVD
SACRAMENTO CA
95817-2207
US

IV. Provider business mailing address

2352 STOCKTON BLV
SACRAMENTO CA
95817-1418
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-4148
  • Fax: 916-734-4452
Mailing address:
  • Phone: 916-453-2080
  • Fax: 916-453-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number112133
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberA112133
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: