Individual provider Active NPI

Shabbir Nooruddin Sabir, MD

  • Emergency Medicine Physician
  • Victorville, CA
National Provider Identifier
1184882318
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A110236 Issued in CA
Practice address
15248 Eleventh St
Victorville, CA 92395-3704
Phone
(860) 335-4743
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301093395 MI
Emergency Medicine Physician 207P00000X A110236 CA Primary

Addresses

Primary practice location

15248 Eleventh St
Victorville, CA 92395-3704

Mailing address

31878 Del Obispo St Ste 118458
San Juan Capistrano, CA 92675-3223
Phone (860) 335-4743

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
I20131106001334 CA Practitioner - Family PracticePractitioner - Emergency Medicine 3476600040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

Hospital & facility affiliations

  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Riverside Emergency Physicians Medical Group Emergency Medicine CurrentSince Apr 29, 2018 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince May 20, 2017 Accepting new patients
Incare Health Solutions, LLC PastSince Jan 12, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
JTDM Family Practice LLC Family Medicine Past Accepting new patients
Qualified Emergency Specialists Inc Emergency Medicine Past Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine Past Accepting new patients
Sidney Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Incare Health Solutions LLC Emergency Medicine PastSince Jan 12, 2020 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1184882318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31878 DEL OBISPO ST STE 118458",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753223",
            "telephone_number": "860-335-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 ELEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "860-335-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIR",
        "first_name": "SHABBIR",
        "middle_name": "NOORUDDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093395",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A110236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.