Individual provider Active NPI

Michael J. Sabat, DO

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1205988664
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A8743 Issued in CA
Practice address
7135 Hollywood Blvd Apt 306
Los Angeles, CA 90046-3245
Phone
(323) 301-3376
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A8743 CA Primary

Addresses

Primary practice location

7135 Hollywood Blvd Apt 306
Los Angeles, CA 90046-3245

Mailing address

15840 Ventura Blvd
Ste 101
Encino, CA 91436-4737
Phone (818) 789-3811

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
I20050511000662 CA Practitioner - Dermatology 3476593278 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergize Nursing Inc CurrentSince Apr 1, 2021 Accepting new patients
Honest Dermatology Medical Group Dermatology CurrentSince Aug 1, 2013 Accepting new patients
Hollywood Lifestyle Dermaotogy Past Accepting new patients

Locations

15840 Ventura Blvd
Ste 101
Encino, CA 91436
Phone (818) 789-3811

Organizations & group practices 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1205988664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD",
            "address_2": "STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364737",
            "telephone_number": "818-789-3811",
            "fax_number": "818-906-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 HOLLYWOOD BLVD APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463245",
            "telephone_number": "323-301-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAT",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A8743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.