NPIMap

Individual provider Active NPI

Mohamad Bashar Abdelfattah, MD

  • Pulmonary Disease Physician
  • Fullerton, CA
National Provider Identifier
1134539711
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A167027 Issued in CA
Practice address
2501 E Chapman Ave
Fullerton, CA 92831-3132
Phone
(714) 481-0172
NPI assigned
May 5, 2014
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A167027 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave
Fullerton, CA 92831-3132

Mailing address

23312 Madero Ste E
Mission Viejo, CA 92691-2732
Phone (949) 292-7320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819000338 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2769737626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Critical Care Physicians Medical Group IncGroup PAC ID 1052223682, 15 clinicians
Saadah Alrajab MD MPH IncGroup PAC ID 2062642143, 3 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624

2501 E Chapman Ave
Suite 225
Fullerton, CA 92831-3187
Phone (714) 481-0172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167027CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 2, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine CurrentSince Aug 2, 2021 Accepting new patients
Newport Critical Care Physicians Medical Group Inc Internal Medicine CurrentSince Dec 10, 2025 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Saadah Alrajab MD MPH Inc Pulmonary Disease CurrentSince Jan 1, 2025 Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2501 E Chapman Ave
Ste 225
Fullerton, CA 92831
Phone (714) 481-0172

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

14900 Imperial Hwy
La Mirada, CA 90638
Phone (559) 627-6363

12021 Wilmington Ave
Bldg 11
Los Angeles, CA 90059
Phone (424) 338-8000

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 404-8263

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1134539711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23312 MADERO STE E",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912732",
            "telephone_number": "949-292-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313132",
            "telephone_number": "714-481-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELFATTAH",
        "first_name": "MOHAMAD",
        "middle_name": "BASHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A167027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.