Active NPI
Ahmed Samir Bata, MD
- Orthopaedic Surgery Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A137199
- 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, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A137199 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nile Orthopedic and Rehabilitation Association | Orthopaedic Surgery | Current | Accepting new patients |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Mohamed S Ali MD Professional Corporation | Past | 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.
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1831616028
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- Loma Linda, CA
- NPI 1194731935
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1407981731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; 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.