Individual provider Active NPI

Ghassan Saeb, M.D.

  • Pediatrics Physician
  • Los Banos, CA
National Provider Identifier
1043574841
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
135492 Issued in CA
Practice address
520 W I St
Los Banos, CA 93635-3419
Phone
(209) 826-0591
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 135492 CA Primary

Addresses

Primary practice location

520 W I St
Los Banos, CA 93635-3419

Mailing address

1145 Bellflower Way
Los Banos, CA 93635-8559
Phone (507) 226-1828

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
I20190712002613 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6507191517

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135492CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Truehealthcare CurrentSince May 10, 2020 Accepting new patients
Los Banos Primary Care, Inc Past Accepting new patients

Locations

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

Interoperability endpoints

  • Direct secure messaging: gsaeb302358@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1043574841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BELLFLOWER WAY",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936358559",
            "telephone_number": "507-226-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353419",
            "telephone_number": "209-826-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAEB",
        "first_name": "GHASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "135492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.