Mohamad Bashar Abdelfattah, MD
Individual provider Active NPI Pulmonary Disease Physician · Fullerton, CA
NPI 1134539711 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1134539711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- A167027 (CA)
- Practice address
- 2501 E Chapman Ave
Fullerton, CA 92831-3132 - Phone
- (714) 481-0172
- NPI assigned
- May 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 Inc
Saadah Alrajab MD MPH Inc
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
- Hoag Memorial Hospital Presbyterian
- Providence St. Jude Medical Center
- Foothill Regional Medical Center
- Whittier Hospital Medical Center
- Orange County Global Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20200819000338 | CA | Practitioner - Pulmonary Disease |
2769737626 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167027 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Critical Care Physicians Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Internal Medicine | Current |
Accepting new patients |
| Superior Hospitalist Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Saadah Alrajab MD MPH Inc | Pulmonary Disease | Current |
Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current |
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
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
12021 Wilmington Ave
Bldg 11
Los Angeles, CA 90059
Phone (424) 338-8000
12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976
14900 Imperial Hwy
Mirada, CA 90638
Phone (559) 627-6363
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A167027 | CA | Yes |
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
Other providers in Fullerton, CA
- Arely Abarca
- Kaithleen Nicole Masa Abastillas
- Daniel Abbott
- Ishraq H Abdalla
- Nivein Ahmed Abdelaziz
- Nevin Shenouda Abdelmalak
- Suhaila Abdu
- Emi Abe
- Patricia H Abella
- Lincoln Abellanosa
All providers in Fullerton, CA · Pulmonary Disease 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 May 30, 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.
- 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.