Jaleel Qawi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51551 Issued in CA

Practice address

315 N 3Rd Ave Ste 102
Covina, CA 91723-1901

Phone

(626) 859-2249

Fax

(626) 859-2248

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unicare Community Health Center, Inc.Group PAC ID 8426369067, shared by 18 NPIs, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians of Southern California Inc

  • Multi-Specialty Clinic/Center
  • Ontario, CA
  • NPI 1710587670

  Internal Medicine

  Medicare reassignment NPD
• California Kidney Specialists

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1760497457

  Internal Medicine

  NPD (past)
• Emanate Health Medical Center

  dba Emanate Health Medical Center Pharmacy

  • Community/Retail Pharmacy
  • West Covina, CA
  • NPI 1174301022
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1144301532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837, E, HILLSIDE DR",
            "city": "WESTCOVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-918-9670",
            "fax_number": "626-859-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 102",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231901",
            "telephone_number": "626-859-2249",
            "fax_number": "626-859-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAWI",
        "first_name": "JALEEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A515510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puente House Inc.
• Puente House Inc.
• Sherealyn Andrea Puente, ASW
• Brandon Adrian Puentes
• Isadora Pursell
• Li Qin
• Yiqi Qin
• Jasmin Jacqueline Quezada
• Quickpick Transport LLC
• Monica Nicole Quinn

• Internal Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.