Active NPI
Magdi H Elbassir, M.D.,
- General Practice Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A86654
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A86654 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Urgent Care | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Lakeside Medical Organization, a Medical Group Inc. | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| CHI Imaging Inc | Past | Accepting new patients | |
| Med Spa Surgery Inc | Past | 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
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Urgent Care Clinic/Center
- Victorville, CA
- NPI 1316774243
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Specialist
- Los Angeles, CA
- NPI 1407931116
-
- Hospitalist Physician
- Rancho Cucamonga, CA
- NPI 1487959581
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Physiological Laboratory
- Los Angeles, CA
- NPI 1295782001
-
- Health Maintenance Organization
- Northridge, CA
- NPI 1881720001
-
dba Lakeside Community Healthcare Medical Group
- Rheumatology Physician
- Burbank, CA
- NPI 1861499535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.