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SAJJAD ETMINAN
NPI 1215891809
Peer Specialist in Boise, ID

Active since December 10, 2025
9428 W FAIRVIEW AVE, BOISE, ID 83704(208) 246-9902 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sajjad Etminan NPPES

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

SAJJAD ETMINAN (NPI 1215891809) is an individual peer specialist in Boise, Idaho and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1215891809
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAJJAD ETMINAN
Location Address9428 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address710 Twilight LoopTwin Falls, ID 83301-4200 · (208) 246-9902
Phone(208) 246-9902
Sole ProprietorNo
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1215891809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
9428 W FAIRVIEW AVE, Boise, ID 83704
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Other Providers at the Same Location NPPES 9

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

VICKY MULENDELA
Community Health Worker
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 807-4970
PLS CARE IMPACT LLC
In Home Supportive Care
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 246-9902
BENOIT MULENDELA
Community Health Worker
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (986) 301-0460
OPTIMAL CARE PHARMACY
Pharmacy
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 590-7553
BEN A NDISANZE SR.
Community Health Worker
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 246-9902
SAMUEL ISHIMWE
Peer Specialist
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 246-9902
TEDY OKECH
Community Health Worker
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (986) 301-0460
FREE MINDS LLC
Community/Behavioral Health
9428 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 246-9902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sajjad Etminan's NPI number?

The NPI number for Sajjad Etminan is 1215891809. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Sajjad Etminan located?

Sajjad Etminan practices at 9428 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 246-9902.

What is Sajjad Etminan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Sajjad Etminan was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.