Healthcare Provider Details

I. General information

NPI: 1215767454
Provider Name (Legal Business Name): CHECK POINT PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 PARKVIEW DR STE A
NEW IBERIA LA
70563-2883
US

IV. Provider business mailing address

104 ALBERTSON PKWY STE 6
BROUSSARD LA
70518-5325
US

V. Phone/Fax

Practice location:
  • Phone: 337-608-8488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. SEYED ALIREZA SADEGHI
Title or Position: OWNER
Credential: MD
Phone: 985-381-6758