NPIMap

Individual provider Active NPI

Habib Habib, M.D

  • Cardiovascular Disease Physician
  • Stockton, CA
National Provider Identifier
1831471093
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A154787 Issued in CA
Practice address
1801 E March LN Ste D400
Stockton, CA 95210-6675
Phone
(209) 464-3615
Fax
(209) 464-1537
NPI assigned
Sep 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD460501 PA
Cardiovascular Disease Physician 207RC0000X A154787 CA Primary

Addresses

Primary practice location

1801 E March LN Ste D400
Stockton, CA 95210-6675

Mailing address

1801 E March LN Ste D400
Stockton, CA 95210-6675
Phone (209) 464-3615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423002032 CA Practitioner - Cardiovascular Disease (Cardiology) 1759652159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

1801 E March LN
Suite D400
Stockton, CA 95210-6675
Phone (209) 464-3615

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

845 S Fairmont Ave
Suite 11
Lodi, CA 95240-5113
Phone (209) 334-0651

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122
  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154787CAMDCardiovascular Disease Physician
MD460501PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2024 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Oct 14, 2024 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

845 S Fairmont Ave
Ste 8
Lodi, CA 95240
Phone (209) 339-7410

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

1801 E March Ln
Ste D400
Stockton, CA 95210
Phone (209) 334-0651

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1831471093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE D400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106675",
            "telephone_number": "209-464-3615",
            "fax_number": "209-464-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE D400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106675",
            "telephone_number": "209-464-3615",
            "fax_number": "209-464-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "HABIB",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD460501",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A154787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.