Individual provider Active NPI

John David Sarrouf, D.O.

  • Pediatrics Physician
  • Cathedral City, CA
National Provider Identifier
1194896415
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A9645 Issued in CA
Practice address
69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344
Phone
(760) 321-6776
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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 20A9645 CA Primary

Addresses

Primary practice location

69175 Ramon Rd BLDG a
Cathedral City, CA 92234-3344

Mailing address

17822 Beach Blvd
Suite 278
Huntington Beach, CA 92647-7101
Phone (714) 842-1441

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
I20080929000483 CA Practitioner - Pediatric Medicine 8325131477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borrego Community Health FoundationGroup PAC ID 1759299944, 8 clinicians

Practice addresses (Care Compare)

PO Box
Borrego Springs, CA 92004-2369

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9645CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsarrouf684885@direct.ochin.org
  • Direct secure messaging: jsarrouf@borregomedical.directbygreenway.com

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1194896415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "SUITE 278",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477101",
            "telephone_number": "714-842-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69175 RAMON RD BLDG A",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922343344",
            "telephone_number": "760-321-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARROUF",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.