SADEG ALDOLAIM
NPI 1972099521
Nurse Practitioner - Primary Care in Upland, CA

Active since July 06, 2018PECOS Enrolled
2086 W ARROW ROUTE, APT 824, UPLAND, CA 91786(313) 445-7395 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sadeg Aldolaim NPPES

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

SADEG ALDOLAIM (NPI 1972099521) is an individual primary care provider in Upland, California, licensed in California (95060537) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972099521
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameSADEG ALDOLAIM
Location Address2086 W ARROW ROUTE, APT 824Upland, CA 91786
Mailing Address2086 W Arrow Route, Apt 824Upland, CA 91786 · (313) 445-7395
Sole ProprietorNo
Enumeration DateJuly 6, 2018
✔ NPI 1972099521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95060537
2086 W ARROW ROUTE, Upland, CA 91786

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sadeg Aldolaim 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sadeg Aldolaim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1405 CALIFORNIA AVE
Dos Palos, CA 93620
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
Adult Mental Health
2311 LOVERIDGE RD, 1ST AND 2ND FLOORS
Pittsburg, CA 94565
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sadeg Aldolaim's NPI number?

The NPI number for Sadeg Aldolaim is 1972099521. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Sadeg Aldolaim located?

Sadeg Aldolaim practices at 2086 W Arrow Route Apt 824, Upland, CA 91786. The listed phone number is (313) 445-7395.

What is Sadeg Aldolaim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sadeg Aldolaim enrolled in Medicare?

Yes. Sadeg Aldolaim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sadeg Aldolaim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sadeg Aldolaim reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Dos Palos, CA) and Contra Costa County (Pittsburg, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sadeg Aldolaim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sadeg Aldolaim was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.