Provider Demographics
NPI:1851352678
Name:SAITO, JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SAITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17150 EUCLID ST
Mailing Address - Street 2:STE 316
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4092
Mailing Address - Country:US
Mailing Address - Phone:714-486-3996
Mailing Address - Fax:714-486-2213
Practice Address - Street 1:17150 EUCLID ST
Practice Address - Street 2:STE 316
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4092
Practice Address - Country:US
Practice Address - Phone:714-486-3996
Practice Address - Fax:714-486-2213
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2070207RP1001X, 207RS0012X, 2080P0214X
CAC53870207RP1001X, 207RS0012X, 208000000X, 2080S0012X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140442852Medicaid
TX174521804Medicaid
TX137345810Medicaid
TX174521803Medicaid
8L17064Medicare PIN
TX140442852Medicaid
TX174521803Medicaid