Active NPI
Marc Ghabbour, M.D.
- Internal Medicine Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 081035
- Practice address
- 552 W Foothill Blvd Ste 100
Glendora, CA 91741-2470 - Phone
- (626) 335-4079
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TRN21395 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 081035 | GA | Primary |
Addresses
Primary practice location
552 W Foothill Blvd Ste 100
Glendora, CA 91741-2470
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
455 Philip Blvd Ste 130
Lawrenceville, GA 30046
Phone (800) 611-1811
Other practice location 2
670 Glades Rd Ste 400
Boca Raton, FL 33431-6464
Phone (561) 955-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000
2025 E Route 66
Glendora, CA 91740-4670
Phone (626) 335-4610
552 W Foothill Blvd
Suite 100
Glendora, CA 91741-2470
Phone (626) 335-4079
824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN21395 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Multi-Specialty | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| The Southeast Permanente Medical Group | Multi-Specialty | Current | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
552 W Foothill Blvd
Ste 100
Glendora, CA 91741
Phone (626) 335-4079
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
455 Philip Blvd
Ste 130
Lawrenceville, GA 30046
Phone (678) 985-5000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mghabbour206918@westdirect.optum.com
Organizations & group practices 4
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
- Los Angeles, CA
- NPI 1659312593
Multi-Specialty
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1093854176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1154702157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 W FOOTHILL BLVD STE 100",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412470",
"telephone_number": "626-335-4079"
}
],
"practiceLocations": [
{
"address_1": "455 Philip Blvd Ste 130",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "30046",
"country_code": "US",
"telephone_number": "800-611-1811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "670 Glades Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316464",
"country_code": "US",
"telephone_number": "561-955-2570",
"fax_number": "561-955-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHABBOUR",
"first_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN21395",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "081035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
- George a,. Davis, Jr., D.D.S., Professional Corporation
- George a. Davis, Jr., D.D.S., P.C.
- George P. Fedor, M.D., a Professional Corporation
- German G Jaquez DDS a Professional Dental Corporation
- Get Well LLC
- Brandon Shirzad Ghalambor, AA
- Kurt Gilbertson, DPT
- Ashley Giles
- William M. Gillespie, M.D.
- Gina Rico Psychiatric Nursing Services Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.