Provider Demographics
NPI:1538294996
Name:SABET, DAVID (DPM)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SABET
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31852 COAST HWY
Mailing Address - Street 2:#105
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6764
Mailing Address - Country:US
Mailing Address - Phone:949-499-4534
Mailing Address - Fax:949-499-9877
Practice Address - Street 1:31852 COAST HWY
Practice Address - Street 2:SUITE 105
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6764
Practice Address - Country:US
Practice Address - Phone:949-499-4534
Practice Address - Fax:949-499-9877
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2627213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWE2627BOtherMEDICARE ID
CAGRE000020Medicaid
CAGRE000020Medicaid
CAWE2627BOtherMEDICARE ID
CAW14336Medicare PIN