Active NPI
Mohammad Jaber Kabbesh, MD
- Infectious Disease Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- C54090
- Practice address
- 3939 J St Ste 320
Sacramento, CA 95819-3666 - Phone
- (916) 733-5995
- Fax
- (916) 281-3862
- NPI assigned
- Jul 15, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C54090 | CA | |
| Infectious Disease Physician | 207RI0200X | C54090 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 37101 | IA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 37101 | IA | |
| Infectious Disease Physician | 207RI0200X | 37101 | IA |
Addresses
Primary practice location
3939 J St Ste 320
Sacramento, CA 95819-3666
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 861-1486
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48004 | Other | FL | BLUE CROSS |
| 1356367809 | Medicaid | IA | |
| 271097800 | Medicaid | FL | |
| C54090 | Other | CA | MEDICAL STATE LICENSE |
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 |
|---|---|---|---|---|
| I20100803000400 | CA | Practitioner - Infectious Disease | 3476521345 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414
6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190
6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300
7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176
Hospital & facility affiliations
- Mercy San Juan Medical Center
- Mercy Hospital of Folsom
- Mercy General Hospital
- Methodist Hospital of Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54090 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Healthflo Medical Clinics Inc | Past | Accepting new patients | |
| Mary Greeley Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 401
Cameron Park, CA 95682
Phone (530) 676-4122
6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500
8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420
7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000
3939 J St
Ste 320
Sacramento, CA 95819
Phone (916) 733-5995
3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
3000 Q St
Fl 3
Sacramento, CA 95816
Phone (916) 733-3400
632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631
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.
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Home Health Agency
- Woodland, CA
- NPI 1851494231
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
-
- Rural Health Clinic/Center
- Ridge Manor, FL
- NPI 1164568275
-
- Rehabilitation Hospital Unit
- Ames, IA
- NPI 1235115031
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1356367809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-861-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 J ST STE 320",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193666",
"telephone_number": "916-733-5995",
"fax_number": "916-281-3862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABBESH",
"first_name": "MOHAMMAD JABER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C54090",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "C54090",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "37101",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IA",
"license": "37101",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IA",
"license": "37101",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "48004",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356367809",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271097800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL STATE LICENSE",
"identifier": "C54090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.