Individual provider Active NPI

Mary Rose Lazo Fabi, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1740489798
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84008 Issued in CA
Practice address
2221 Martin Luther King Jr Way
Oakland, CA 94612-1318
Phone
(510) 267-7800
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84008 CA Primary

Addresses

Primary practice location

2221 Martin Luther King Jr Way
Oakland, CA 94612-1318

Mailing address

2221 Martin Luther King Jr Way
Oakland, CA 94612-1318
Phone (510) 267-7800

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
I20101221000119 CA Practitioner - Internal Medicine 2466640230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Novato, CA, CCN 057031
  • Luxor Care Home Health Services Home health agency, Vallejo, CA, CCN 059681
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Amedisys Home Health Care Home health agency, Burlingame, CA, CCN 557116
  • Carelink Home Health Agency LLC Home health agency, Burlingame, CA, CCN 059364
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as subgroup
Quality
80.86
Promoting interoperability
76
Improvement activities
40
Cost
75.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Sep 18, 2024 Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 18, 2024 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
University of California San Francisco Past Accepting new patients
Mukesh H Naik DO Inc PastSince Nov 5, 2007 Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Marin General Hospital Past Accepting new patients

Locations

1341 S Eliseo Dr
Ste 200
Greenbrae, CA 94904
Phone (415) 464-8169

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3 Harbor Dr
Ste 111
Sausalito, CA 94965
Phone (415) 683-2988

Interoperability endpoints

  • Direct secure messaging: mfabi106609@direct-ucsfmedicalcenter.org

Organizations & group practices 9

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 8

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1740489798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 MARTIN LUTHER KING JR WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121318",
            "telephone_number": "510-267-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABI",
        "first_name": "MARY ROSE",
        "middle_name": "LAZO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.