Individual provider Active NPI

Omar Farag Ezubeik

  • Emergency Medicine Physician
  • Sacramento, CA
National Provider Identifier
1386308393
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A203280 Issued in CA
Practice address
2008 36TH St
Sacramento, CA 95817-1308
Phone
(209) 298-2050
NPI assigned
Oct 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A203280 CA Primary

Addresses

Primary practice location

2008 36TH St
Sacramento, CA 95817-1308

Mailing address

2008 36TH St
Sacramento, CA 95817-1308
Phone (209) 298-2050

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 916-734-8660 Direct

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
I20260602003313 CA Practitioner - Emergency Medicine 8527539303

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4131 Maddie Cir
Stockton, CA 95209-3771

4637 Chabot Dr
Suite 104
Pleasanton, CA 94588-2749

5000 Hopyard Rd
Suite 410
Pleasanton, CA 94588-3145

Hospital & facility affiliations

  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A203280CAMDEmergency Medicine Physician

Hospital & facility affiliations 2

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1386308393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 36TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171308",
            "telephone_number": "209-298-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 36TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171308",
            "telephone_number": "209-298-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZUBEIK",
        "first_name": "OMAR",
        "middle_name": "FARAG",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A203280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "916-734-8660",
            "affiliation": "N",
            "endpointDescription": "Pager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pager",
            "address_1": "4610 X St",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958172200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.