NPIMap

Individual provider Active NPI

Hisham Jihad Abukamleh, MD

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1144689647
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A150533 Issued in CA
Practice address
18144 US Highway 18 Ste 140
Apple Valley, CA 92307-2219
Phone
(760) 515-4003
NPI assigned
Feb 12, 2016
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A150533 CA Primary

Addresses

Primary practice location

18144 US Highway 18 Ste 140
Apple Valley, CA 92307-2219

Mailing address

18144 US Highway 18 Ste 140
Apple Valley, CA 92307-2219
Phone (760) 515-4003

Other practice location 1

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2202

Other practice location 2

18300 Ca-18
apple valley, CA 92307-9230
Phone (760) 242-2311

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
I20180213002569 CA Practitioner - Internal Medicine 1153681069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Walk-in ClinicGroup PAC ID 4385084664, 2 clinicians

Practice addresses (Care Compare)

18182 US Hwy 18
Suite 106
Apple Valley, CA 92307-2200
Phone (760) 515-4003

18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150533CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Abukamleh MD. Inc CurrentSince Jul 22, 2019 Accepting new patients
Express Walk-in Clinic CurrentSince Mar 1, 2024 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
St Marys Medical Center, Inc Past Accepting new patients

Locations

18144 US Highway 18
Ste 140
Apple Valley, CA 92307
Phone (760) 242-5500

18182 US Highway 18
Ste 106
Apple Valley, CA 92307
Phone (760) 503-6116

18182 US Highway 18
Ste 107
Apple Valley, CA 92307
Phone (760) 515-4003

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: habukaml@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBEDDD/Endpoint/EBEDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHACD/Endpoint/GJHACD

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 8

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1144689647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18144 US HIGHWAY 18 STE 140",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072219",
            "telephone_number": "760-515-4003",
            "fax_number": "760-515-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18144 US HIGHWAY 18 STE 140",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072219",
            "telephone_number": "760-515-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064018",
            "country_code": "US",
            "telephone_number": "661-326-2202",
            "fax_number": "661-862-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18300 CA-18",
            "address_purpose": "LOCATION",
            "city": "apple valley",
            "state": "CA",
            "postal_code": "923079230",
            "country_code": "US",
            "telephone_number": "760-242-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABUKAMLEH",
        "first_name": "HISHAM",
        "middle_name": "JIHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.