Individual provider Active NPI

Hiba Anan Mohammed Hamdan, M.D.

  • Nephrology Physician
  • Yuba City, CA
National Provider Identifier
1487856142
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A107022 Issued in CA
Practice address
1000 Sutter St
Yuba City, CA 95991-3459
Phone
(530) 673-9420
Fax
(530) 673-9451
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 76794 AZ
Nephrology Physician 207RN0300X A107022 CA Primary

Addresses

Primary practice location

1000 Sutter St
Yuba City, CA 95991-3459

Mailing address

PO Box Ad
Yuba City, CA 95992-1396
Phone (530) 751-3769

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
I20120711000384 CA Practitioner - NephrologyPractitioner - Internal Medicine 9830354166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1620 E Roseville Pkwy
Suite 200
Roseville, CA 95661-3303
Phone (916) 783-7109

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-3588

Hospital & facility affiliations

  • SHC Folsom Dialysis facility, Folsom, CA, CCN 552863
  • SHC Sacramento Dialysis facility, Sacramento, CA, CCN 552739
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76794AZMDInternal Medicine Physician
A107022CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Dec 14, 2020 Accepting new patients
Regents of the University of California CurrentSince Apr 26, 2021 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
County of Sacramento CurrentSince Dec 16, 2025 Accepting new patients
Regents of the University of Ca Internal Medicine CurrentSince Dec 14, 2020 Accepting new patients
County of Sacramento CurrentSince Dec 16, 2025 Accepting new patients
Regents of the University of California CurrentSince Apr 26, 2021 Accepting new patients
Ampla Health Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 101
Sacramento, CA 95817
Phone (916) 734-4843

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1487856142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUTTER ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913459",
            "telephone_number": "530-673-9420",
            "fax_number": "530-673-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "HIBA",
        "middle_name": "ANAN MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "76794",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A107022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.