NPIMap

Organization Active NPI

Basim Z. Abdelkarim, M.D., Inc.

Doing business as Ideal Gastroenterology Associates

  • Gastroenterology Physician
  • Upland, CA
National Provider Identifier
1063593739
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A74259 Issued in CA
Legal business name
BASIM Z. ABDELKARIM, M.D., INC.
Doing business as
Ideal Gastroenterology Associates
Practice address
1310 San Bernardino Rd Ste 103
Upland, CA 91786-4985
Phone
(909) 920-0444
Fax
(909) 920-5044
NPI assigned
Oct 18, 2006
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Dr. Basim Z Abdelkarim, M.D.NPI 1932217544
Title
President
Phone
(909) 920-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A74259 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd Ste 103
Upland, CA 91786-4985

Mailing address

1310 San Bernardino Rd Ste 103
Upland, CA 91786-4985
Phone (909) 920-0444

Other practice location 1

8659 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-4893
Phone (909) 920-0444

Other names 2

  • Ideal Gastroenterology Associates Doing business as
  • Basim Z. Abdelkarim M.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070124000492 CA Part B Supplier - Clinic/Group Practice 5890796445 Receives reassigned benefits from 7 practitioners
Practice locations: Pomona, CA; Rancho Cucamonga, CA; Upland, CA

National Provider Directory

National Provider Directory

Locations

8659 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 920-0444

1310 San Bernardino Rd
Ste 103
Upland, CA 91786
Phone (909) 920-0444

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1063593739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 103",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-920-0444",
            "fax_number": "909-920-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8659 Haven Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304893",
            "country_code": "US",
            "telephone_number": "909-920-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BASIM Z. ABDELKARIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "ABDELKARIM",
        "authorized_official_first_name": "BASIM",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-920-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A74259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Gastroenterology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Basim Z. Abdelkarim M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.