Active NPI
Parviz Sagheb Talebi, MD
- Family Medicine Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A83766
- Practice address
- 20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5401 - Phone
- (510) 889-1922
- Fax
- (510) 889-5964
- NPI assigned
- May 8, 2006
- Last updated
- Feb 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | A83766 | CA | Primary |
Addresses
Primary practice location
20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5401
Mailing address
20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5401
Phone (510) 889-1922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00221441 | Other | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | g.gerbacio@sbcglobal.net |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.74 of 100
- Quality
- 94
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 65.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83766 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Clearlake Hospital Inc. | Current | Accepting new patients | |
| Dr Nabil Abudayeh | Past | Accepting new patients | |
| Livermore Medical Clinic, P.C. | Past | Accepting new patients | |
| Nabil K Abudayeh MD Professional Corporation | Past | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Adventist Health Clearlake Hospital, Inc | Past | Accepting new patients |
Locations
15230 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 995-4500
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
dba Adventist Health Clear Lake
- Rural Health Clinic/Center
- Lakeport, CA
- NPI 1871063040
-
- Point of Service
- Castro Valley, CA
- NPI 1245770155
-
dba San Leandro Hospital
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Health Service Clinic/Center
- Livermore, CA
- NPI 1265532014
-
- Cardiovascular Disease Physician
- Castro Valley, CA
- NPI 1558558023
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582934400000",
"number": "1326097411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20700 LAKE CHABOT RD",
"address_2": "SUITE 107",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465401",
"telephone_number": "510-889-1922",
"fax_number": "510-889-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 LAKE CHABOT RD",
"address_2": "SUITE 107",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465401",
"telephone_number": "510-889-1922",
"fax_number": "510-889-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALEBI",
"first_name": "PARVIZ",
"middle_name": "SAGHEB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2020-02-29",
"certification_date": "2020-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A83766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00221441",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "g.gerbacio@sbcglobal.net",
"affiliation": "N",
"address_1": "20700 Lake Chabot Rd",
"address_2": "Suite 107",
"city": "Castro Valley",
"state": "CA",
"country_code": "US",
"postal_code": "945465401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.