Individual provider Active NPI

Hala Hazem Sabry, D.O.

  • Emergency Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1871738138
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A10644 Issued in CA
Practice address
12212 Scarlet Way
Rancho Cucamonga, CA 91739-2649
Phone
(909) 803-0662
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OP61069012 WA
Emergency Medicine Physician 207P00000X A10644 CA Primary

Addresses

Primary practice location

12212 Scarlet Way
Rancho Cucamonga, CA 91739-2649

Mailing address

12212 Scarlet Way
Rancho Cucamonga, CA 91739-2649
Phone (909) 803-0662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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
I20100104000362 CA Practitioner - Emergency Medicine 6002957743 Reassigns benefits to 3 organizations
I20210505000958 WA Practitioner - Emergency Medicine 6002957743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A10644CAMDEmergency Medicine Physician
OP61069012WAMDEmergency Medicine Physician
10644CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Franciscan Medical Group CurrentSince Sep 14, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Sep 14, 2023 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Eastside Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2011 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Franciscan Medical Group Current Accepting new patients
Mountain View Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Sep 1, 2015 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

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

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

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

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

1344 Wintergreen Ln NE
Unit 100
Seattle, WA 98110
Phone (206) 201-0488

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

2420 S State St
Tacoma, WA 98405
Phone (253) 426-4000

Interoperability endpoints

  • Direct secure messaging: hsabry608215@direct.peacehealth.org

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1871738138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 SCARLET WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392649",
            "telephone_number": "909-803-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 SCARLET WAY",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392649",
            "telephone_number": "909-803-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABRY",
        "first_name": "HALA",
        "middle_name": "HAZEM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP61069012",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A10644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.