Individual provider Active NPI

Carolyn Marie Saba, MD

  • Anesthesiology Physician
  • Mammoth Lakes, CA
National Provider Identifier
1508885039
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
141298 Issued in CA
Practice address
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone
(760) 934-3311
NPI assigned
Jul 18, 2006
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 29164 AZ
Anesthesiology Physician 207L00000X 141298 CA Primary

Addresses

Primary practice location

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073

Mailing address

9566 S Swiss CT
Hereford, AZ 85615-9779
Phone (480) 609-9300

Other identifiers 1

IdentifierTypeStateIssuer
569014MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MahoCSaba@mammothhospital.cernerdirect.com 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
I20161027002405 CA Practitioner - Anesthesiology 9436232147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians

Practice addresses (Care Compare)

150 Pioneer LN
Bishop, CA 93514-2556
Phone (760) 873-5811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29164AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Jun 6, 2017 Accepting new patients
Northern Inyo Healthcare District CurrentSince Aug 15, 2016 Accepting new patients
Northern Inyo Healthcare District Current Accepting new patients
Cochise Group Anesthesia Services, LLC Anesthesiology Past Accepting new patients
Anesthesia Associates of Northern Ohio, Inc. Anesthesiology PastSince Jan 1, 1996 Accepting new patients

Locations

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Interoperability endpoints

  • Direct secure messaging: mahocsaba@mammothhospital.cernerdirect.com

Organizations & group practices 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1508885039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9566 S SWISS CT",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856159779",
            "telephone_number": "480-609-9300",
            "fax_number": "480-609-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SIERRA PARK RD",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935462073",
            "telephone_number": "760-934-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "29164",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "141298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569014",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MahoCSaba@mammothhospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Mammoth Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "85 Sierra Park Rd",
            "city": "Mammoth Lakes",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935462073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mammoth Lakes, CA

Sources for this page

Verify at the official NPI Registry.