Healthcare Provider Details

I. General information

NPI: 1467011627
Provider Name (Legal Business Name): SAIBA HOSPITALIST ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 02/19/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42215 BLACK OAK DR
THREE RIVERS CA
93271-9796
US

IV. Provider business mailing address

PO BOX 1119
THREE RIVERS CA
93271-1119
US

V. Phone/Fax

Practice location:
  • Phone: 714-749-3044
  • Fax: 949-863-8060
Mailing address:
  • Phone: 714-749-3044
  • Fax: 949-862-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PANKAJ KUMAR KARAN
Title or Position: CEO
Credential: M.D.
Phone: 714-749-3044