Individual provider Active NPI

Iraj Sabahi, M.D.

  • Rheumatology Physician
  • Turlock, CA
National Provider Identifier
1881886042
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A113559 Issued in CA
Practice address
2161 Colorado Ave
Suite A2
Turlock, CA 95382-2007
Phone
(209) 634-3898
Fax
(209) 634-4167
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A113559 CA Primary

Addresses

Primary practice location

2161 Colorado Ave
Suite A2
Turlock, CA 95382-2007

Mailing address

2161 Colorado Ave
Suite A2
Turlock, CA 95382-2007
Phone (209) 634-3898

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
I20101213000052 CA Practitioner - Internal Medicine 8628265956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2161 Colorado Ave
Suite A2
Turlock, CA 95382-2007
Phone (209) 634-3898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113559CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iraj Sabahi M D Inc Rheumatology CurrentSince Oct 18, 2010 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

5720 Stoneridge Mall Rd
Ste 100
Pleasanton, CA 94588
Phone (510) 760-8997

5776 Stoneridge Mall Rd
Ste 220
Pleasanton, CA 94588
Phone (510) 750-3470

2161 Colorado Ave
Ste A2
Turlock, CA 95382
Phone (209) 632-2368

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1881886042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 COLORADO AVE",
            "address_2": "SUITE A2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822007",
            "telephone_number": "209-634-3898",
            "fax_number": "209-634-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COLORADO AVE",
            "address_2": "SUITE A2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822007",
            "telephone_number": "209-634-3898",
            "fax_number": "209-634-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAHI",
        "first_name": "IRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A113559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.