Sabreena Arif, MD

Individual provider Active NPI Internal Medicine Physician · Muncy, PA

NPI 1154484129 · NPPES record last updated Nov 29, 2021

Key facts

NPI
1154484129
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD429853 (PA)
Practice address
10 Shady LN
Suite 102
Muncy, PA 17756-8807
Phone
(570) 546-4180
Fax
(570) 546-4187
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical Group (11,250 clinicians)

Practice addresses (Care Compare)

13640 Roscoe Blvd
Panorama City, CA 91402-3904
Phone (818) 375-2000

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111012000651 CA Practitioner - Internal Medicine 9234131194 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110770CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current
since Sep 12, 2011
Accepting new patients
Southern California Permanente Medical Group Current
since Sep 12, 2011
Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Susquehanna Physician Services Past Accepting new patients

Locations

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD429853 PA Yes

Addresses

Primary practice location

10 Shady LN
Suite 102
Muncy, PA 17756-8807

Mailing address

1201 Grampian Blvd
PO Box 3127
Williamsport, PA 17701-1900

Other identifiers

IdentifierTypeStateIssuer
1018969890003MedicaidPA

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Other providers in Muncy, PA

All providers in Muncy, PA · Internal Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.