Active NPI
Ahmad Kabakibi, MD
- Internal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A94768
- Practice address
- 6367 Alvarado CT Ste 200
San Diego, CA 92120-4915 - Phone
- (619) 583-1954
- Fax
- (619) 583-5499
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A94768 | CA | Primary |
Addresses
Primary practice location
6367 Alvarado CT Ste 200
San Diego, CA 92120-4915
Mailing address
6367 Alvarado CT Ste 200
San Diego, CA 92120-4915
Phone (619) 583-1954
Other practice location 1
5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone (619) 465-0711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3525 Del Mar Heights Rd
Suite 359
San Diego, CA 92130-2199
Phone (858) 252-2700
6367 Alvarado CT
Suite 200
San Diego, CA 92120-4915
Phone (619) 583-1954
Hospital & facility affiliations
- Saint Victoria Home Health Care
- Odyssey Home Health Care, Inc.
- Good Samaritan Home Health Inc
- Comfort and Peace Hospice
- Grossmont Hospital
- Palomar Medical Center Poway
- VI at la Jolla Village
- Brighton Place Spring Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94768 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| DMCK Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Rawi Medical PC | Current | Accepting new patients | |
| Kabakibi Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Grossmont Hospital Corporation | Past | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
5965 Village Way
Ste E105411
San Diego, CA 92130
Phone (619) 578-1063
4629 Cass St
San Diego, CA 92109
Phone (855) 266-2300
3525 Del Mar Heights Rd
Ste 359
San Diego, CA 92130
Phone (858) 252-2700
6367 Alvarado Ct
Ste 200
San Diego, CA 92120
Phone (619) 583-1954
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
9009 Campo Rd
Spring Valley, CA 91977
Phone (616) 460-2711
Interoperability endpoints
- akabakibi33913@sharphealthcare.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Brighton Place Spring Valley | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 1, 2022 Sep 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Spring Valley, CA
- NPI 1780682021
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1740330471
-
- Geriatric Medicine (Internal Medicine) Physician
- San Diego, CA
- NPI 1942782677
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1154132173
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- San Diego, CA
- NPI 1235596826
-
- Home Health Agency
- National City, CA
- NPI 1669082350
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Home Health Agency
- Chatsworth, CA
- NPI 1447821699
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- Home Health Agency
- Pasadena, CA
- NPI 1255908364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693612800000",
"number": "1043390206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6367 ALVARADO CT STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204915",
"telephone_number": "619-583-1954",
"fax_number": "619-583-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6367 ALVARADO CT STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204915",
"telephone_number": "619-583-1954",
"fax_number": "619-583-5499"
}
],
"practiceLocations": [
{
"address_1": "5555 Grossmont Center Dr",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919423019",
"country_code": "US",
"telephone_number": "619-465-0711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KABAKIBI",
"first_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-09-02",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A94768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.