NPIMap

Individual provider Active NPI

Joseph Nassir, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1255301024
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52865 Issued in CA
Practice address
17822 Beach Blvd
#430
Huntington Beach, CA 92647-7508
Phone
(714) 843-6800
Fax
(714) 847-3480
NPI assigned
Jan 25, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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 A52865 CA Primary

Addresses

Primary practice location

17822 Beach Blvd
#430
Huntington Beach, CA 92647-7508

Mailing address

17822 Beach Blvd
#430
Huntington Beach, CA 92647-7508
Phone (714) 843-6800

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
I20041007000696 CA Practitioner - Internal Medicine 5294794814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17822 Beach Blvd
Suite 430
Huntington Beach, CA 92647-7508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52865CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Campagna Chiropractic Corporation CurrentSince Dec 21, 2020 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

17411 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 596-2260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sea Cliff Healthcare CenterHuntington Beach, CA, CCN 555249 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Jul 21, 2023
Jul 21, 2023
Jul 7, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • HB Healthcare Associates LLC

    dba Sea Cliff Healthcare Center

    • Skilled Nursing Facility
    • Huntington Beach, CA
    • NPI 1154316933

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

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 10

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1255301024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "#430",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477508",
            "telephone_number": "714-843-6800",
            "fax_number": "714-847-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD",
            "address_2": "#430",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477508",
            "telephone_number": "714-843-6800",
            "fax_number": "714-847-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIR",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.