Saba Azizi-Ghannad, D.O.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

20A18206 Issued in CA

Practice address

1011 Riverside Ave
Roseville, CA 95678-5134

Phone

(518) 347-5293

NPI assigned

Jun 26, 2017

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, NY2 enrollments

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 2

Specialty

Family Practice

Education

Western University of Health Sciences College of Dental Med, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Rahma HealthGroup PAC ID 6305259771, 8 clinicians

American Wound Care Medicine PLLCGroup PAC ID 6709237118, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
• Tender Loving Care, an Amedisys Company Home health agency, Carle Place, NY, CCN 337143
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Wound Care Medicine PLLC

  • Adult Medicine Physician
  • Patchogue, NY
  • NPI 1942074653
  Medicare reassignment Care Compare group NPD Authorized official
• Rahma Health

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1699373910
  Medicare reassignment Care Compare group NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Redwood City, CA
  • NPI 1639252604
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  dba Tender Loving Care, an Amedisys Company

  • Home Health Agency
  • Medford, NY
  • NPI 1699715961
  Care Compare affiliation
• Tender Loving Care Health Care Services of Nassau Suffolk, LLC

  dba Tender Loving Care, an Amedisys Company

  • Home Health Agency
  • Carle Place, NY
  • NPI 1932262383
  Care Compare affiliation

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1295255842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 RIVERSIDE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 RIVERSIDE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785134",
            "telephone_number": "518-347-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZI-GHANNAD",
        "first_name": "SABA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A18206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Riverside Ave",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956785134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manuel M Azares, PHARMD
• Robert A. Azevedo, MD
• Mahjabeen Aziz, MD
• Mohammad Aziz
• Valeed Ather Aziz, MD
• Afsheen Azmat, MD
• Summer Azmat
• Anastacia Azor, MD
• B Barry Chehrazi MD Inc (Spine & Neurosurgery Associates)
• Larisa Babchanik

• Adult Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.