Individual provider Active NPI

Angel D Tabuyo-Martin, MD

  • Gynecologic Oncology Physician
  • Sacramento, CA
National Provider Identifier
1003293523
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A147327 Issued in CA
Practice address
3301 C St Ste 550
Sacramento, CA 95816-3386
Phone
(916) 556-3164
Fax
(916) 733-5920
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X A147327 CA Primary

Addresses

Primary practice location

3301 C St Ste 550
Sacramento, CA 95816-3386

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201015001523 FL Practitioner - Obstetrics/Gynecology 5294155149 Reassigns benefits to 1 organization
I20230825001304 CA Practitioner - Gynecological Oncology 5294155149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of California, San Diego School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

3301 C St
Suite 550
Sacramento, CA 95816-3386
Phone (916) 733-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A147327CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Obstetrics & Gynecology CurrentSince Jul 15, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 5, 2023 Accepting new patients
University of Miami CurrentSince Jul 15, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 5, 2023 Accepting new patients
University of Miami Current Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
University of Miami Hospital and Clinics Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Cedars Healthcare Group, LTD. Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3301 C St
Ste 550
Sacramento, CA 95816
Phone (916) 556-3200

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

1901 N California St
Stockton, CA 95204
Phone (209) 946-6800

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Freedom Health HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Optimum HealthCare HMO Network

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1003293523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 550",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163386",
            "telephone_number": "916-556-3164",
            "fax_number": "916-733-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABUYO-MARTIN",
        "first_name": "ANGEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A147327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.