MEDICARE: DR. ANDREW A SASSANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	A86747	CA
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	A86747	CA
3	2084P0804X	Child & Adolescent Psychiatry Physician	A86747	CA
4	2084P0802X	Addiction Psychiatry Physician	A86747	CA
5	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	A86747	CA
6	2084P0800X	Psychiatry Physician	A86747	CA
7	2084P0805X	Geriatric Psychiatry Physician	A86747	CA

General Provider Information

NPI Number	:	1346370582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW A SASSANI M.D.

Provider Business Mailing Address
First Line	:	21163 NEWPORT COAST DR # 274
Second Line	:
City	:	NEWPORT COAST
State	:	CA
Zip	:	92657-1123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 ARTESIA BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6713
Country	:	US
Telephone Number	:	562-484-3385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	01/27/2026

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