Active NPI
Sabah Kadhium, MD
- Family Medicine Physician
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A56488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A54880 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Inland Home Health Providers Inc
- Quality First Home Health Care
- Maximum Care Providers, Inc
- La Pro Home Health Care, Inc
- Angels on Earth Hospice
- San Dimas Community Hospital
- Emanate Health Foothill Presbyterian Hospital
- San Antonio Regional Hospital
- Pomona Valley Hospital Medical Center
- Emanate Health Inter-Community Hospital
- Casa Colina Hosp for Rehab Medicine
- Kindred Hospital Brea
- Park Avenue Healthcare & Wellness Center
- Casa Bonita Convalescent Hospital
- Claremont Care Center
- Citrus Heights Health Center
- Chino Valley Health Care Cente
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A56488 | CA | MD | Family Medicine Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New 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 | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Claremont Care Center | 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 Center | 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.
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1336148840
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1811168727
Adp of the SNF, Operational/Managerial Control
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.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
-
- Internal Medicine Physician
- San Dimas, CA
- NPI 1225333065
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- Skilled Nursing Facility
- San Dimas, CA
- NPI 1568487619
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- San Dimas, CA
- NPI 1730269234
Nursing home
-
- Rehabilitation Hospital
- Pomona, CA
- NPI 1518327733
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Pomona, CA
- NPI 1821075870
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
Inpatient rehabilitation facility
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1558441022
Nursing home
-
- Skilled Nursing Facility
- Pomona, CA
- NPI 1336148840
Nursing home
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
Hospital
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1093854176
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.