Individual provider Active NPI

Babak Sanei Fard, M.D.

  • Interventional Cardiology Physician
  • Marysville, CA
National Provider Identifier
1225199805
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A112750 Issued in CA
Practice address
414 G St
Suite 108
Marysville, CA 95901-5663
Phone
(530) 749-6628
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A112750 CA Primary
Internal Medicine Physician 207R00000X A112750 CA

Addresses

Primary practice location

414 G St
Suite 108
Marysville, CA 95901-5663

Mailing address

414 G St
Suite 108
Marysville, CA 95901-5663
Phone (530) 749-6628

Other identifiers 2

IdentifierTypeStateIssuer
1225199805MedicaidCA
0A1127500OtherCABLUE SHIELD PIN #

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000818 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4486685849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

414 G St
Suite 108
Marysville, CA 95901-5669
Phone (530) 749-6628

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Orchard Hospital Hospital, Gridley, CA, CCN 051311
  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Interventional Cardiology CurrentSince Aug 4, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 4, 2019 Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

414 G St
Ste 108
Marysville, CA 95901
Phone (530) 671-8718

414 G St
Ste 221
Marysville, CA 95901
Phone (530) 741-3800

481 Plumas Blvd
Ste 104
Yuba City, CA 95991
Phone (530) 674-2434

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

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.

Hospital & facility affiliations 5

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1225199805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 108",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-749-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 108",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015663",
            "telephone_number": "530-749-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEI FARD",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A112750",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A112750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225199805",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN #",
            "identifier": "0A1127500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.