Individual provider Active NPI

Sabrina Guillen Fabi, M.D.

  • Procedural Dermatology Physician
  • San Diego, CA
National Provider Identifier
1528264355
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A112852 Issued in CA
Practice address
9339 Genesee Ave Ste 300
San Diego, CA 92121-2122
Phone
(847) 322-6710
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A112852 CA
Procedural Dermatology Physician 207NS0135X A112852 CA Primary

Addresses

Primary practice location

9339 Genesee Ave Ste 300
San Diego, CA 92121-2122

Mailing address

9339 Genesee Ave Ste 300
San Diego, CA 92121-2122
Phone (847) 322-6710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112852CAMDProcedural Dermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1528264355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212122",
            "telephone_number": "847-322-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212122",
            "telephone_number": "847-322-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABI",
        "first_name": "SABRINA",
        "middle_name": "GUILLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A112852",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A112852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.