SADIQ MIRZA D.O.
NPI 1194166298
Psychiatry & Neurology - Psychiatry in Colton, CA

Q: What is Sadiq Mirza's NPI number?

The NPI number for Sadiq Mirza is 1194166298. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Q: What is Sadiq Mirza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sadiq Mirza was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2013PECOS Enrolled

1330 E COOLEY DR, COLTON, CA 92324(909) 580-3705 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Nov 5, 2019 (2 updates tracked since 2019).

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About Sadiq Mirza D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SADIQ MIRZA D.O. (NPI 1194166298) is an individual psychiatry provider in Colton, California, licensed in California (20A13455) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1194166298

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSADIQ MIRZACredential: D.O.

Location Address1330 E COOLEY DRColton, CA 92324

Mailing Address400 N Pepper AveColton, CA 92324-1801

Phone(909) 580-3705

Sole ProprietorNo

Enumeration DateJuly 17, 2013

Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration

NPPES CertifiedDecember 18, 2020

✔ NPI 1194166298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A13455

Definition

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.

1330 E COOLEY DR, Colton, CA 92324

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Secondary Practice Location 1

Location 1400 N Pepper AveColton, CA 92324-1801 · Phone (909) 580-3830

Other Identifiers 1

Medicaid1194166298CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sadiq Mirza D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JUDITH A TATE LSW

Counselor