Active NPI
Basma Al Nahlawi, M.D.
- Rheumatology Physician
- San Marcos, CA
National Provider Identifier
1144455262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A115924
- Practice address
- 960 W San Marcos Blvd Ste 210
San Marcos, CA 92078-1147 - Phone
- (760) 707-6765
- Fax
- (760) 736-8092
- NPI assigned
- May 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A115924 | CA | Primary |
Addresses
Primary practice location
960 W San Marcos Blvd Ste 210
San Marcos, CA 92078-1147
Mailing address
PO Box 511475
Los Angeles, CA 90051-8030
Phone (866) 284-2771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB257814 | Other | CA | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | athenahealthcare |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
960 W San Marcos Blvd
Suite 210
San Marcos, CA 92078-1147
Phone (760) 736-8091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115924 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients | |
| Wyoming Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Tele-Medicine Services Ny, PLLC | Internal Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- basma.alnahlawi.1@13982.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- San Marcos, CA
- NPI 1336500305
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Internal Medicine Physician
- Roseville, CA
- NPI 1609663780
-
- Internal Medicine Physician
- Casper, WY
- NPI 1730324872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1144455262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511475",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900518030",
"telephone_number": "866-284-2771",
"fax_number": "800-334-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W SAN MARCOS BLVD STE 210",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781147",
"telephone_number": "760-707-6765",
"fax_number": "760-736-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL NAHLAWI",
"first_name": "BASMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A115924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB257814",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "athenahealthcare",
"affiliation": "N",
"address_1": "334 Via Vera Cruz Ste 251",
"city": "San Marcos",
"state": "CA",
"country_code": "US",
"postal_code": "920782642",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.