Individual provider Active NPI

Basma Al Nahlawi, M.D.

  • Rheumatology Physician
  • San Marcos, CA
National Provider Identifier
1144455262
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A115924 Issued in CA
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

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CB257814OtherCAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430002579 CA Practitioner - RheumatologyPractitioner - Internal Medicine 4880721547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kayal Medical Group IncGroup PAC ID 3678866316, 3 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115924CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 27, 2025 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.