Wali Abawi, D.O.
Individual provider Active NPI Internal Medicine Physician · Joshua Tree, CA
NPI 1104362268 · NPPES record last updated Apr 28, 2021
Key facts
- NPI
- 1104362268
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20A15952 (CA)
- Practice address
- 6601 White Feather Rd
Joshua Tree, CA 92252-6607 - Phone
- (760) 366-3711
- NPI assigned
- Jan 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Socal Hospitalists
Inpatient Specialists of California PC
Acute Care Associates of California PC
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9469
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111
Hospital & facility affiliations
- St Mary Medical Center
- Southwest Healthcare Rancho Springs Hospital
- St Johns Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190606001069 | CA | Practitioner - Internal Medicine |
7911230925 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15952 | CA | MD | Internal Medicine Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Internal Medicine | Current | Accepting new patients |
| Socal Hospitalists | Internal Medicine | Current |
Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current |
Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (800) 578-5145
350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A15952 | CA | Yes |
Addresses
Primary practice location
6601 White Feather Rd
Joshua Tree, CA 92252-6607
Mailing address
8161 E Kaiser Blvd Unit 30402
Anaheim, CA 92809-0534
Other providers in Joshua Tree, CA
- Jared Kirkman Anderson
- Angel View Crippled Childrens Foundation Inc
- Angel View Crippled Childrens Foundation Inc
- Angel View Crippled Childrens Foundation Inc
- Michelle Helen Antrobus
All providers in Joshua Tree, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.