Sam Pourbabak (NPI# 1043271018, PAC ID# 6507870631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1043271018 |
| PAC ID by PECOS | 6507870631 |
| Professional Enrollment ID | I20090305000232 |
| Full Name | Sam Pourbabak |
| Organization Legal Name | KU JUEY RAYMOND CHANG INC. |
| Address |
23141 Moulton Pkwy Suite 102 Laguna Hills CA 92653-1241 |
| Phone Number | 9499169100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | ENDOCRINOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608822895 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 | 9499169100 | KU JUEY RAYMOND CHANG INC. |
| 655 Camino De Los Mares, Suite 122, San Clemente, CA 92673-2809 | 9499169100 | KU JUEY RAYMOND CHANG INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 67% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 53% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
| Organization Legal Name | KU JUEY RAYMOND CHANG INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Brian E Chavez | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Lynn Elizabeth Napoli | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Priyanka Bhat Krishnan | Internal Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Rahil A Bandukwala | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Shilpa J Mehta | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Marlene Yacoob | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Ku Juey R Chang | Nephrology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Street Address |
23141 MOULTON PKWY SUITE 102 |
| City | LAGUNA HILLS |
| State | CA |
| Zip | 92653-1241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica M Harms | General Practice | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Yaseen Kady | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Jill E Jones | Physician Assistant | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Sam Nosrati | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Brian E Chavez | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Devon N Glazer | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Kristy F Fleming | Dermatology | 23141 Moulton Pkwy, Suite 110, Laguna Hills, CA 92653-1241 | |
| Lynn Elizabeth Napoli | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Priyanka Bhat Krishnan | Internal Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Rahil A Bandukwala | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James C. Chang | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| David G Woodward | Anesthesiology | West Coast Anesthesia of Pacific Hills | 24022 La Plata, Suite 180, Laguna Hills, CA 92653 |
| Jose D Fojas | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Brooke Varon | Physical Therapy | Rehab Alliance | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 |
| Wendy U Tran | Optometry | 22972 Moulton Pkwy, Suite 104, Laguna Hills, CA 92653-1219 | |
| Shilpa J Mehta | Endocrinology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Mozhgan Ashtari | Internal Medicine | 23141 Moulton Pkwy, Suite 202, Laguna Hills, CA 92653-1241 | |
| Marlene Yacoob | Family Medicine | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Ku Juey R Chang | Nephrology | Ku Juey Raymond Chang Inc. | 23141 Moulton Pkwy, Suite 102, Laguna Hills, CA 92653-1241 |
| Raquel K Sugino | Podiatry | Artisan Foot and Ankle Podiatric Specialists Inc | 23141 Moulton Pkwy, Suite 109, Laguna Woods, CA 92653-1241 |
| Find all physicians in zip 92653 | |||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | LAGUNA HILLS + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Sam Pourbabak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.