Organization Active NPI

M. Thabet Karabala, M.D., Inc.

  • Cardiovascular Disease Physician
  • Stockton, CA
National Provider Identifier
1376665703
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35322 Issued in CA
Legal business name
M. THABET KARABALA, M.D., INC.
Practice address
940 N Center St Ste a
Stockton, CA 95202-1326
Phone
(209) 466-4222
Fax
(209) 466-3306
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. M Thabet Karabala, M.D.NPI 1609826288
Title
Owner
Phone
(209) 466-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A35322 CA Primary

Addresses

Primary practice location

940 N Center St Ste a
Stockton, CA 95202-1326

Mailing address

940 N Center St
Suite a
Stockton, CA 95202-1326
Phone (209) 466-4222

Other identifiers 1

IdentifierTypeStateIssuer
00A353220MedicaidCA

National Provider Directory

National Provider Directory

Locations

940 N Center St
Ste A
Stockton, CA 95202
Phone (209) 466-4222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1376665703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N CENTER ST",
            "address_2": "SUITE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021326",
            "telephone_number": "209-466-4222",
            "fax_number": "209-466-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N CENTER ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021326",
            "telephone_number": "209-466-4222",
            "fax_number": "209-466-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. THABET KARABALA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KARABALA",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "THABET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-466-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A353220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.