Individual provider Active NPI

Magdi H Elbassir, M.D.,

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1194835330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A86654 Issued in CA
Practice address
3161 Glendale Blvd
Los Angeles, CA 90039-1805
Phone
(323) 662-0365
Fax
(323) 662-0368
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A86654 CA Primary

Addresses

Primary practice location

3161 Glendale Blvd
Los Angeles, CA 90039-1805

Mailing address

3161 Glendale Blvd
Los Angeles, CA 90039-1805
Phone (323) 662-0365

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
I20040923001161 CA Practitioner - General Practice 1456329754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Urgent CareGroup PAC ID 4284168386, 12 clinicians
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

13010 Hesperia Rd
Suite 600
Victorville, CA 92395-8321
Phone (760) 946-5888

1500 W W Covina Pkwy
West Covina, CA 91790-2708
Phone (626) 430-9991

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86654CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Urgent Care CurrentSince Feb 10, 2025 Accepting new patients
KND Development 59 LLC CurrentSince Nov 13, 2015 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Jun 1, 2011 Accepting new patients
KND Development 59, LLC CurrentSince Nov 13, 2015 Accepting new patients
CHI Imaging Inc Past Accepting new patients
Med Spa Surgery Inc PastSince Apr 30, 2003 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Heritage Provider Network, Inc. Past Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991

1500 W West Covina Pkwy
Fl 1
West Covina, CA 91790

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: magdi.elbassir.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 9

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194835330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391805",
            "telephone_number": "323-662-0365",
            "fax_number": "323-662-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391805",
            "telephone_number": "323-662-0365",
            "fax_number": "323-662-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBASSIR",
        "first_name": "MAGDI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A86654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.