Active NPI
Raymond Christian Sabo
- Contractor
- Houston, TX
National Provider Identifier
1700259702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 10718 Wall Fern Way
Houston, TX 77034 - Phone
- (858) 436-4060
- Fax
- (713) 589-5599
- NPI assigned
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | 11788454 | TX | |
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
10718 Wall Fern Way
Houston, TX 77034
Mailing address
3501 Chenevert St Apt 24
Houston, TX 77004-4278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11788454 | TX | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite One Transport | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
| Elite One Direct | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Houston, TX
- NPI 1962869339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1700259702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 CHENEVERT ST APT 24",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770044278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10718 WALL FERN WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77034",
"telephone_number": "858-436-4060",
"fax_number": "713-589-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABO",
"first_name": "RAYMOND",
"middle_name": "CHRISTIAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "TX",
"license": "11788454",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.