Individual provider Active NPI

Manuel Allen Sabin II, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1811187891
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A069270 Issued in CA
Practice address
1750 Wright St
Sacramento, CA 95825-4041
Phone
(855) 354-2242
Fax
(916) 779-7560
NPI assigned
Jul 26, 2007
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 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 A069270 CA Primary

Addresses

Primary practice location

1750 Wright St
Sacramento, CA 95825-4041

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

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
I20150106001233 CA Practitioner - Family Practice 6709109333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Timberlake Family Practice a Medical CorporationGroup PAC ID 7214931104, 2 clinicians

Practice addresses (Care Compare)

9381 E Stockton Blvd
Suite 216
Elk Grove, CA 95624-5070
Phone (916) 691-5855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A069270CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberlake Family Practice a Medical Corporation Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Chest Infectious Diseases & Critical Care Consultants Group Inc PastSince Jul 9, 2023 Accepting new patients
River City Medical Group, Inc. Family Medicine PastSince Feb 3, 2018 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

9381 E Stockton Blvd
Ste 216
Elk Grove, CA 95624
Phone (916) 201-8301

Interoperability endpoints

  • Direct secure messaging: msabin233423@hpmg.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1811187891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WRIGHT ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254041",
            "telephone_number": "855-354-2242",
            "fax_number": "916-779-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "MANUEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A069270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.