Individual provider Active NPI

Shiv Sab, MD

  • Interventional Cardiology Physician
  • Encinitas, CA
National Provider Identifier
1578839106
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A126839 Issued in CA
Practice address
320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179
Phone
(760) 944-7300
Fax
(760) 633-3949
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X A126839 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179

Mailing address

320 Santa Fe Dr Ste 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

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
I20210118000618 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6901219708 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Diego Cardiovascular Associates Medical Group IncGroup PAC ID 0840270757, 15 clinicians
Scripps Cardiology Medical Group, Inc.Group PAC ID 3971547951, 18 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5179
Phone (760) 944-7300

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126839CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Cardiovascular Associates Medical Group Inc Cardiovascular Disease CurrentSince Feb 15, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Oct 16, 2020 Accepting new patients
Scripps Cardiology Medical Group, Inc. Cardiovascular Disease CurrentSince May 7, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 16, 2020 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 16, 2024 Accepting new patients
Scripps Health Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

9850 Genesee Ave
Ste 780
La Jolla, CA 92037
Phone (858) 625-7200

9850 Genesee Ave
Ste 940
La Jolla, CA 92037
Phone (858) 457-1234

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

270 International Cir
San Jose, CA 95119
Phone (408) 972-3539

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1578839106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245179",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245179",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAB",
        "first_name": "SHIV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A126839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.