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Physician Compare National (NPI:1538378765)

HEALTHCARE PROVIDER: DENNIS SARABI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1538378765
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5395839047
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090316000174
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SARABI
Individual professional last name
Provider First Name DENNIS
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1999
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 400 NEWPORT CTR DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 610
Group Practice or individual's line 2 address
City NEWPORT BEACH
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926607623
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 050224
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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