SABA AZIZI-GHANNAD D.O.
NPI 1295255842
Family Medicine - Adult Medicine in Roseville, CA

Q: What is Saba Azizi-ghannad's NPI number?

The NPI number for Saba Azizi-ghannad is 1295255842. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Q: What is Saba Azizi-ghannad's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since June 26, 2017PECOS Enrolled

1011 RIVERSIDE AVE, ROSEVILLE, CA 95678(518) 347-5293 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Jun 2, 2023, Jan 4, 2022 and 2 more (5 updates tracked since 2017).

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About Saba Azizi-ghannad D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SABA AZIZI-GHANNAD D.O. (NPI 1295255842) is an individual adult medicine provider in Roseville, California, licensed in California (20A18206) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2017).

NPPES Registry Identity

NPI1295255842

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameSABA AZIZI-GHANNADCredential: D.O.

Location Address1011 RIVERSIDE AVERoseville, CA 95678-5134

Mailing Address1011 Riverside AveRoseville, CA 95678-5134

Phone(518) 347-5293

Sole ProprietorNo

Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2017

Enumeration DateJune 26, 2017

Last NPPES UpdateFebruary 14, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2024

✔ NPI 1295255842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · 20A18206

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

1011 RIVERSIDE AVE, Roseville, CA 95678

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saba Azizi-ghannad D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072920651

PECOS Enrollment IDI20210326000684, I20240110003559

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

35 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95678 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ROEMER MCCREARY PHARMD

Pharmacist