NPIMap

Individual provider Active NPI

Mehboob Ghulam, DO

  • Internal Medicine Physician
  • Brawley, CA
National Provider Identifier
1215248273
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A12164 Issued in CA
Practice address
155 S 6TH St
Brawley, CA 92227-2429
Phone
(760) 550-6654
Fax
(760) 550-6737
NPI assigned
Jun 24, 2010
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A12164 CA Primary

Addresses

Primary practice location

155 S 6TH St
Brawley, CA 92227-2429

Mailing address

155 S 6TH St
Brawley, CA 92227-2429
Phone (760) 550-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000309 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Critical Care (Intensivists)Practitioner - Hospitalist 0244479954 Reassigns benefits to 3 organizations
Practice locations: Brawley, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of California PCGroup PAC ID 7012228992, 58 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-4045

207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-4892

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.68 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.28

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
71.11
Improvement activities
40
Cost
69.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue268
Removal of nail tissue1-10
Removal or shaving of skin growth13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12164CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial County Physicians Medical Group Clinic CurrentSince Dec 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
24 On Physicians of California, PC CurrentSince Jan 1, 2023 Accepting new patients
George C. Fareed, M.D. Family Medicine Past Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1503 N Imperial Ave
Ste 105A
El Centro, CA 92243
Phone (442) 231-8915

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGADD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1215248273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S 6TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272429",
            "telephone_number": "760-550-6654",
            "fax_number": "760-550-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S 6TH ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272429",
            "telephone_number": "760-550-6654",
            "fax_number": "760-550-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHULAM",
        "first_name": "MEHBOOB",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A12164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brawley, CA

Sources for this page

Verify at the official NPI Registry.