Provider Demographics
NPI:1487658944
Name:SAGMAN, ARTHUR MITCHELL (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:MITCHELL
Last Name:SAGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 W FLORIDA AVENUE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-3817
Mailing Address - Country:US
Mailing Address - Phone:951-791-1111
Mailing Address - Fax:951-925-3606
Practice Address - Street 1:850 E LATHAM AVENUE
Practice Address - Street 2:SUITE #101
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4391
Practice Address - Country:US
Practice Address - Phone:951-929-9688
Practice Address - Fax:951-766-1269
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ198142085R0202X
CAG705052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ049305Medicaid
AZZ141470Medicare PIN
CACA117338Medicare PIN