Individual provider Active NPI

Saba Nawazish, M.D.

  • Ophthalmology Physician
  • Riverside, CA
National Provider Identifier
1184086639
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A165351 Issued in CA
Practice address
6906 Brockton Ave Ste 6
Riverside, CA 92506-3802
Phone
(951) 784-8373
Fax
(844) 897-3788
NPI assigned
Mar 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A165351 CA Primary

Addresses

Primary practice location

6906 Brockton Ave Ste 6
Riverside, CA 92506-3802

Mailing address

12086 Clark St Apt 202
Moreno Valley, CA 92557-8667
Phone (669) 246-8588

Other practice location 1

333 N Santa Rosa St
San Antonio, TX 78207-3108
Phone (210) 704-2011

Other practice location 2

6400 Fannin St Fl 18
Houston, TX 77030-1521
Phone (713) 559-5200

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
I20200515000924 CA Practitioner - Ophthalmology 4789015306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6906 Brockton Ave
Suite 6
Riverside, CA 92506-3802
Phone (951) 784-8373

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165351CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients
Trilogy Eye Medical Group, Inc Ophthalmology Past Accepting new patients
University Eye Associates Ophthalmology PastSince Jun 21, 2020 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

17833 Colima Rd
City of Industry, CA 91748
Phone (626) 964-8864

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

47474 Washington St
La Quinta, CA 92253
Phone (760) 469-5213

40690 California Oaks Rd
Ste B
Murrieta, CA 92562
Phone (909) 698-5765

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

1801 E Tahquitz Canyon Way
Ste 200
Palm Springs, CA 92262
Phone (760) 327-2700

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

160 E Artesia St
Pomona, CA 91767
Phone (909) 622-5654

160 E Artesia St
Ste 120
Pomona, CA 91767
Phone (909) 629-4051

6906 Brockton Ave
#6
Riverside, CA 92506

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

29950 Haun Rd
Ste 202
Sun City, CA 92586
Phone (626) 568-8838

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184086639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 CLARK ST APT 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578667",
            "telephone_number": "669-246-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 BROCKTON AVE STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063802",
            "telephone_number": "951-784-8373",
            "fax_number": "844-897-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Santa Rosa St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Fannin St Fl 18",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301521",
            "country_code": "US",
            "telephone_number": "713-559-5200",
            "fax_number": "713-795-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWAZISH",
        "first_name": "SABA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A165351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.