Individual provider Active NPI

Michael N Habibe, MD

  • Emergency Medicine Physician
  • Fresno, CA
National Provider Identifier
1972545754
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G78642 Issued in CA
Practice address
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone
(559) 450-3281
Fax
(559) 450-7610
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G78642 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

7081 N Marks Ave Ste 104
PMB 352
Fresno, CA 93711-0232
Phone (559) 903-4020

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
I20041213000830 CA Practitioner - Emergency Medicine 5294792149 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78642CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince Nov 15, 2013 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 15, 2013 Accepting new patients
Saint Agnes Medical Center CurrentSince Oct 20, 2015 Accepting new patients
Trinity Home Health Services CurrentSince Oct 20, 2015 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients
North Fresno Emergency Physicians Medical Group Emergency Medicine Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

121 Barboza St
Mendota, CA 93640
Phone (559) 655-5000

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

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

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

Interoperability endpoints

  • Direct secure messaging: michael.habibe.1@17661.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1972545754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 N MARKS AVE STE 104",
            "address_2": "PMB 352",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110232",
            "telephone_number": "559-903-4020",
            "fax_number": "559-435-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-450-3281",
            "fax_number": "559-450-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBE",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G78642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.