Individual provider Active NPI

Ahmed Samir Bata, MD

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
National Provider Identifier
1184864423
Registry record updated Dec 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A137199 Issued in CA
Practice address
25455 Barton Rd
Loma Linda, CA 92354-3128
Phone
(909) 558-2808
Fax
(909) 651-4586
NPI assigned
Feb 26, 2009
Last updated
Dec 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A137199 CA Primary

Addresses

Primary practice location

25455 Barton Rd
Loma Linda, CA 92354-3128

Mailing address

File # 54701
Los Angeles, CA 90074-4701
Phone (909) 651-4000

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
I20160324001524 CA Practitioner - Orthopedic Surgery 2062652530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nile Orthopedic and Rehabilitation AssociationGroup PAC ID 3274807466, 3 clinicians

Practice addresses (Care Compare)

4343 Market St
Suite B
Riverside, CA 92501-3567
Phone (909) 233-7823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137199CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nile Orthopedic and Rehabilitation Association Orthopaedic Surgery CurrentSince Aug 18, 2017 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Mohamed S Ali MD Professional Corporation PastSince Sep 3, 2014 Accepting new patients

Locations

264 N Highland Springs Ave
Ste 2A
Banning, CA 92220
Phone (951) 845-8589

835 Highland Springs Ave
Ste 105
Beaumont, CA 92223
Phone (951) 875-6412

835 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (909) 233-7823

25805 Barton Rd
#A106
Loma Linda, CA 92354
Phone (585) 770-0945

25805 Barton Rd
Ste A106
Loma Linda, CA 92354
Phone (909) 333-4200

25915 Barton Rd
Ste 204
Loma Linda, CA 92354
Phone (909) 233-7823

10165 Foothill Blvd
Ste 26
Rch Cucamonga, CA 91730
Phone (909) 233-7823

9120 Haven Ave
Ste 102B
Rch Cucamonga, CA 91730

9120 Haven Ave
Ste 120B
Rch Cucamonga, CA 91730

4343 Market St
Ste B
Riverside, CA 92501
Phone (909) 233-7823

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450483200000",
    "number": "1184864423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE # 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-651-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-2808",
            "fax_number": "909-651-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATA",
        "first_name": "AHMED",
        "middle_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2015-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A137199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.