Individual provider Active NPI

Ghalib Mohammad Wahidi, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1053522078
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A98850 Issued in CA
Practice address
2701 S Bristol St
Santa Ana, CA 92704-6201
Phone
(949) 422-0615
NPI assigned
May 24, 2007
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A98850 CA
Internal Medicine Physician 207R00000X A98850 CA Primary
Hospitalist Physician 208M00000X A98850 CA

Addresses

Primary practice location

2701 S Bristol St
Santa Ana, CA 92704-6201

Mailing address

23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 422-0615

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000642 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 2062572951 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

881 Dover Dr
Suite 200
Newport Beach, CA 92663-6922
Phone (218) 203-5474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
78.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98850CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Emergency Medical Associates Emergency Medicine CurrentSince Nov 29, 2017 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Sep 1, 2021 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine Current Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jun 7, 2016 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Orange County Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Sep 3, 2017 Accepting new patients
Golden Coast Aesthetic and Concierge Medicine Corp CurrentSince Aug 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Sep 23, 2019 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Rocket Doctor Practice Group, P.C. Emergency Medicine PastSince Sep 21, 2025 Accepting new patients
CHLB, LLC Past Accepting new patients
Kouhkan DPM Corporation Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

20311 SW Acacia St
Ste 140
Newport Beach, CA 92660
Phone (831) 777-4283

881 Dover Dr
Ste 200
Newport Beach, CA 92663

881 Dover Dr
Ste 250
Newport Beach, CA 92663
Phone (218) 203-5474

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1053522078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 VERDUGO DR STE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531341",
            "telephone_number": "949-422-0615",
            "fax_number": "949-326-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046201",
            "telephone_number": "949-422-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHIDI",
        "first_name": "GHALIB",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A98850",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A98850",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A98850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.