Individual provider Active NPI

Sabah Kadhium, MD

  • Family Medicine Physician
  • San Dimas, CA
National Provider Identifier
1306836770
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A56488 Issued in CA
Practice address
1334 W Covina Blvd
Ste 204
San Dimas, CA 91773-3211
Phone
(909) 599-6300
Fax
(909) 305-2500
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A56488 CA Primary

Addresses

Primary practice location

1334 W Covina Blvd
Ste 204
San Dimas, CA 91773-3211

Mailing address

1334 W Covina Blvd
Ste 204
San Dimas, CA 91773-3211
Phone (909) 599-6300

Other identifiers 1

IdentifierTypeStateIssuer
00A54880MedicaidCA

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
I20090528000061 CA Practitioner - Family Practice 3870642671 Practice locations: Ontario, CA; Pomona, CA; Rancho Cucamonga, CA; San Dimas, CA; Upland, CA; West Covina, CA; Montclair, CA; Baldwin Park, CA…

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 962-4011

1161 E Covina Blvd
Covina, CA 91724-1523
Phone (626) 966-1632

1234 Foothill Blvd
La Verne, CA 91750-3329
Phone (909) 596-4879

1334 W Covina Blvd
Suite 204
San Dimas, CA 91773-3211
Phone (909) 599-6300

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

150 W Route 66
Glendora, CA 91740-6207
Phone (626) 852-5000

1550 N Park Ave
Pomona, CA 91768-1834
Phone (909) 623-0791

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (626) 331-7331

219 E Foothill Blvd
Pomona, CA 91767-1403
Phone (909) 593-1391

2351 S Towne Ave
Pomona, CA 91766-6227
Phone (909) 628-1245

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 596-7733

2600 A St
La Verne, CA 91750-4303
Phone (909) 392-4388

435 E Gladstone St
Glendora, CA 91740-5159
Phone (626) 963-5955

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-5411

535 E Bonita Ave
San Dimas, CA 91773-3124
Phone (909) 599-1248

845 N Lark Ellen Ave
West Covina, CA 91791-1069
Phone (626) 339-5451

Hospital & facility affiliations

  • Life of Hope Home Health Home health agency, Glendale, CA, CCN 757424
  • Inland Home Health Providers Inc Home health agency, Rancho Cucamonga, CA, CCN 058239
  • Quality First Home Health Care Home health agency, Upland, CA, CCN 059013
  • Maximum Care Providers, Inc Home health agency, Arcadia, CA, CCN 059105
  • La Pro Home Health Care, Inc Home health agency, Encino, CA, CCN 559597
  • Angels on Earth Hospice Hospice, Montclair, CA, CCN 551703
  • San Dimas Community Hospital Hospital, San Dimas, CA, CCN 050588
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Casa Colina Hosp for Rehab Medicine Inpatient rehabilitation facility, Pomona, CA, CCN 05T782
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039
  • Park Avenue Healthcare & Wellness Center Nursing home, Pomona, CA, CCN 555852
  • Casa Bonita Convalescent Hospital Nursing home, San Dimas, CA, CCN 056291
  • Claremont Care Center Nursing home, Pomona, CA, CCN 055394
  • Citrus Heights Health Center Nursing home, Covina, CA, CCN 555932
  • Chino Valley Health Care Cente Nursing home, Pomona, CA, CCN 055126

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56488CAMDFamily Medicine Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Sabah Kadhium MD Inc Family Medicine PastSince Jan 1, 1990 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Afshin Saadat MD Inc Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1234 Foothill Blvd
#2
La Verne, CA 91750
Phone (909) 596-4879

1234 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-4879

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Claremont Care CenterPomona, CA, CCN 055394 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 8, 2008
Sep 8, 2008
Sep 8, 2008
Park Avenue Healthcare & Wellness CenterPomona, CA, CCN 555852 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1306836770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD",
            "address_2": "STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 W COVINA BLVD",
            "address_2": "STE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733211",
            "telephone_number": "909-599-6300",
            "fax_number": "909-305-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADHIUM",
        "first_name": "SABAH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A54880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.