Individual provider Active NPI

Sayedmorteza Gharib, M.D.

  • Anesthesiology Physician
  • Altoona, PA
National Provider Identifier
1811937600
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD420670 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 943-5901
Fax
(814) 943-3429
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD420670 PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

1701 12TH Ave
Suite G2
Altoona, PA 16601-3100
Phone (814) 943-5901

Other identifiers 1

IdentifierTypeStateIssuer
001948966MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040607000654 PA Practitioner - Anesthesiology 3577545169 Reassigns benefits to 1 organization
I20140526000014 CA Practitioner - Anesthesiology 3577545169 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temecula Valley Anesthesia Partners IncGroup PAC ID 0648618876, 34 clinicians

Practice addresses (Care Compare)

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

Hospital & facility affiliations

  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420670PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Fink Anesthesia Inc CurrentSince Apr 8, 2015 Accepting new patients
Temecula Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Sound Physicians Anesthesiology of California PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Rancho Springs Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 9, 2024 Accepting new patients
Temecula Surgery Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Lexington Anesthesia Associates, Inc. Past Accepting new patients

Locations

25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

Organizations & group practices 7

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 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1811937600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 12TH AVE",
            "address_2": "SUITE G2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013100",
            "telephone_number": "814-943-5901",
            "fax_number": "814-943-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-943-5901",
            "fax_number": "814-943-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARIB",
        "first_name": "SAYEDMORTEZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD420670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001948966",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.