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TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1679176754
Anesthesiology - Pain Medicine in Pasadena, CA

Active since November 19, 2020CLIA 05D2219088 · Waiver
625 S FAIR OAKS AVE STE 230, PASADENA, CA 91105(626) 469-2939(626) 469-2956 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2025, Feb 5, 2021, Jan 29, 2021 and 1 more (4 updates tracked since 2020).

About Taher Saifullah Md A Professional Medical Corporation NPPES

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

TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1679176754) is a healthcare organization registered as a pain medicine in Pasadena, California and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Taher Saifullah, Owner, as its authorized official.

NPPES Registry Identity

NPI1679176754
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameTAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION
Location Address625 S FAIR OAKS AVE STE 230Pasadena, CA 91105-2663
Mailing Address625 S Fair Oaks Ave Ste 230Pasadena, CA 91105-2663 · (626) 469-2939
Phone(626) 469-2939
Fax(626) 469-2956
Organization SubpartNo
Authorized OfficialTaher SaifullahOwner · (909) 524-1041
Enumeration DateNovember 19, 2020
Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1679176754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

625 S FAIR OAKS AVE STE 230, Pasadena, CA 91105
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2219088

Taher Saifullah MD, A Professional Medical Corporation · Pasadena, CA
Active · expires Mar 31, 2027
CLIA Number05D2219088
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorTaher Saifullah, MD
Laboratory Phone(626) 469-2939
Laboratory LocationTaher Saifullah MD, A Professional Medical Corporation625 S Fair Oaks Ave Ste #230, Pasadena, CA 91105
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. KATRINA YUILLE D.D.S.
Dentist (General Practice)
625 S FAIR OAKS AVE STE 230
PASADENA, CA 91105
Los Angeles County (626) 395-9588
TAHER MIR SAIFULLAH M.D.
Anesthesiology (Pain Medicine)
625 S FAIR OAKS AVE STE 230
PASADENA, CA 91105
Los Angeles County (626) 469-2939
KYRA JESSICA WOJCIK PA
Physician Assistant
625 S FAIR OAKS AVE STE 230
PASADENA, CA 91105
Los Angeles County (626) 469-2939
DR. CHAU MY VU MD
Pain Medicine (Interventional Pain Medicine)
625 S FAIR OAKS AVE STE 230
PASADENA, CA 91105
Los Angeles County (626) 469-2939

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 Taher Saifullah MD A Professional Medical Corporation's NPI number?

The NPI number for Taher Saifullah MD A Professional Medical Corporation is 1679176754. It was assigned to this organization in the NPPES registry on November 19, 2020.

Where is Taher Saifullah MD A Professional Medical Corporation located?

Taher Saifullah MD A Professional Medical Corporation is located at 625 S Fair Oaks Ave Ste 230, Pasadena, CA 91105. The listed phone number is (626) 469-2939.

What is Taher Saifullah MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Taher Saifullah MD A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2219088) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Taher Saifullah MD A Professional Medical Corporation was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.