Individual provider Active NPI

Sherif Y Labatia, MD

  • Family Medicine Physician
  • Lakewood, CA
National Provider Identifier
1619165115
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C55757 Issued in CA
Practice address
5750 Downey Ave Ste 206
Lakewood, CA 90712-1474
Phone
(562) 384-3034
Fax
(562) 408-4901
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C55757 CA Primary

Addresses

Primary practice location

5750 Downey Ave Ste 206
Lakewood, CA 90712-1474

Mailing address

5750 Downey Ave
Ste 206
Lakewood, CA 90712-1474
Phone (562) 384-3034

Other practice location 1

4950 Barranca Pkwy Ste 308
Irvine, CA 92604-4631
Phone (949) 561-0700

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
I20131008000076 CA Practitioner - Family Practice 6103906029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Partners, a Medical GroupGroup PAC ID 2769388412, 236 clinicians

Practice addresses (Care Compare)

5750 Downey Ave
Suite 100
Lakewood, CA 90712-1411
Phone (562) 630-3105

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55757CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Sep 1, 2013 Accepting new patients
Prohealth Partners a Medical Group Inc Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Jun 24, 2022 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
University of California Irvine Past Accepting new patients
Camil I Kreit MD PA Family Medicine Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

5750 Downey Ave
Ste 206
Lakewood, CA 90712
Phone (562) 384-3034

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1619165115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE",
            "address_2": "STE 206",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121474",
            "telephone_number": "562-384-3034",
            "fax_number": "562-408-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 206",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121474",
            "telephone_number": "562-384-3034",
            "fax_number": "562-408-4901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Barranca Pkwy Ste 308",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926044631",
            "country_code": "US",
            "telephone_number": "949-561-0700",
            "fax_number": "949-561-0750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABATIA",
        "first_name": "SHERIF",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C55757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.