Individual provider Active NPI

Sandy Ngo Moubarek, MD

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1033746722
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A185097 Issued in CA
Practice address
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone
(916) 734-5612
Fax
(916) 734-3384
NPI assigned
Mar 24, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A185097 CA Primary

Addresses

Primary practice location

2230 Stockton Blvd
Sacramento, CA 95817-1353

Mailing address

2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone (916) 734-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250212001550 CA Practitioner - Psychiatry 0042678633 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185097CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca Psychiatry CurrentSince Feb 7, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 7, 2025 Accepting new patients
Zeam Medical Group Inc Psychiatry CurrentSince Jun 17, 2026 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California PastSince Mar 1, 2020 Accepting new patients
Pacific Heartwood Wellness PC Psychiatry PastSince Jul 9, 2023 Accepting new patients
Regents of the University of California PastSince Mar 1, 2020 Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

508 Gibson Dr
Ste 150
Roseville, CA 95678
Phone (916) 608-0714

1451 River Park Dr
Ste 100
Sacramento, CA 95815
Phone (505) 918-3009

2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4860 Y St
Ste 1600
Sacramento, CA 95817
Phone (916) 734-2833

4860 Y St
Ste 2320
Sacramento, CA 95817
Phone (916) 734-2833

Interoperability endpoints

  • Direct secure messaging: zeammedicalgroup.sandymoubarek@150204.advancedmd-direct.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1033746722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-5612",
            "fax_number": "916-734-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-5612",
            "fax_number": "916-734-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUBAREK",
        "first_name": "SANDY",
        "middle_name": "NGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A185097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.