Individual provider Active NPI

Maira Sabah, D.C

  • Chiropractor
  • Hesperia, CA
National Provider Identifier
1174983688
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33726 Issued in CA
Practice address
17450 Main St Ste D
Hesperia, CA 92345-6262
Phone
(760) 493-2929
Fax
(760) 493-2922
NPI assigned
Feb 25, 2016
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33726 CA Primary

Addresses

Primary practice location

17450 Main St Ste D
Hesperia, CA 92345-6262

Mailing address

6221 Arcadia St
Eastvale, CA 92880-4003
Phone (310) 971-0747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120002234 CA Practitioner - Chiropractic 2466719893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 Main St
Suite B
Huntington Beach, CA 92648-8186
Phone (714) 960-7807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinecare USA Corporation Chiropractor CurrentSince Jun 28, 2025 Accepting new patients

Locations

411 Main St
Ste B
Huntington Beach, CA 92648
Phone (714) 960-7807

Organizations & group practices 1

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1174983688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 ARCADIA ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804003",
            "telephone_number": "310-971-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 MAIN ST STE D",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456262",
            "telephone_number": "760-493-2929",
            "fax_number": "760-493-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAH",
        "first_name": "MAIRA",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.