Avalon Family Medical Group Inc
Organization Active NPI Internal Medicine Physician · Wilmington, CA
NPI 1114048857 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1114048857
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A41141 (CA)
- Legal business name
- AVALON FAMILY MEDICAL GROUP INC
- Practice address
- 1626 N Avalon Blvd
Wilmington, CA 90744-1431 - Phone
- (310) 834-4666
- Fax
- (310) 834-5538
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Edgar Ibrahim El Sayad
- Title
- MD
- Phone
- (310) 325-0600
Corporate family (same tax ID) 1
Practitioners 5
-
Ross Albert Berliner, DPM
-
Nabil I El Sayad, M.D.
-
Edgar Ibrahim El Sayad, M.D.
-
Heidi Rae Garcia, PAC
-
Cynthia Ulm, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050418000626 | CA | Part B Supplier - Clinic/Group Practice | 7315985744 |
Receives reassigned benefits from 2 practitioners Practice locations: Wilmington, CA |
National Provider Directory
- Tax ID family
- Avalon Family Medical Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | A41141 | CA | Yes |
Addresses
Primary practice location
1626 N Avalon Blvd
Wilmington, CA 90744-1431
Mailing address
1626 N Avalon Blvd
Wilmington, CA 90744-1431
Phone (310) 834-4666
Other providers in Wilmington, CA
- Eileen Rene Anguiano
- Apex Physical Therapy, Inc.
- Tomoko Araki
- Stephanie Arjona
- Avalon Family Medical Group
- Avalon Outpatient Services
- Avalon Pharmacy
- Avalon Pharmacy Inc.
- Imelda Avalos
- Esther Bak
All providers in Wilmington, 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 Dec 11, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.