Individual provider Active NPI

M Thabet Karabala, M.D.

  • Cardiovascular Disease Physician
  • Stockton, CA
National Provider Identifier
1609826288
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35322 Issued in CA
Practice address
940 N Center St
Ste a
Stockton, CA 95202-1326
Phone
(209) 466-4222
Fax
(209) 466-3306
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A35322 CA Primary

Addresses

Primary practice location

940 N Center St
Ste a
Stockton, CA 95202-1326

Mailing address

940 N Center St
Ste a
Stockton, CA 95202-1326
Phone (209) 466-4222

Other identifiers 1

IdentifierTypeStateIssuer
00A353220MedicaidCA

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
I20080519000555 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8123197043 Practice locations: Stockton, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Thabet Karabala, M.D., Inc. Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1609826288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N CENTER ST",
            "address_2": "STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021326",
            "telephone_number": "209-466-4222",
            "fax_number": "209-466-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N CENTER ST",
            "address_2": "STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021326",
            "telephone_number": "209-466-4222",
            "fax_number": "209-466-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARABALA",
        "first_name": "M",
        "middle_name": "THABET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A353220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.