Active NPI
Maricel V Sabado, DO
- Family Medicine Physician
- San Juan Capistrano, CA
National Provider Identifier
1003807488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6870
- Practice address
- 30300 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1576 - Phone
- (949) 661-9600
- Fax
- (949) 443-6200
- NPI assigned
- Nov 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6870 | CA | Primary |
Addresses
Primary practice location
30300 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1576
Mailing address
2742 Dow Ave
Tustin, CA 92780-7242
Phone (714) 665-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX68700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6870 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1003807488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2742 DOW AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927807242",
"telephone_number": "714-665-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30300 RANCHO VIEJO RD",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751576",
"telephone_number": "949-661-9600",
"fax_number": "949-443-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABADO",
"first_name": "MARICEL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-03",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX68700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.