Individual provider Active NPI

Parviz Sagheb Talebi, MD

  • Family Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1326097411
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83766 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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 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

IdentifierTypeStateIssuer
P00221441OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000733 CA Practitioner - Family Practice 9739126541 Reassigns benefits to 1 organization
Practice locations: Castro Valley, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
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

LicenseStateTypeSpecialty
A83766CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Clearlake Hospital Inc. CurrentSince Oct 28, 2022 Accepting new patients
Dr Nabil Abudayeh Past Accepting new patients
Livermore Medical Clinic, P.C. PastSince Mar 7, 2009 Accepting new patients
Nabil K Abudayeh MD Professional Corporation PastSince Dec 7, 2017 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.

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

Verify at the official NPI Registry.