Provider Demographics
NPI:1346098019
Name:SAIA, JOSEPH WALTER
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WALTER
Last Name:SAIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5744 KENNETH AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2950
Mailing Address - Country:US
Mailing Address - Phone:916-390-3246
Mailing Address - Fax:
Practice Address - Street 1:5744 KENNETH AVE
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2950
Practice Address - Country:US
Practice Address - Phone:916-390-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY6511067OtherCALIFORNIA DRIVER LICENSE