Active NPI
Mohamed M. Eldin El Kabany, MD
- Hepatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- A89043
- Practice address
- 200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-9722 - Phone
- (310) 794-7788
- Fax
- (310) 794-1039
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A89043 | CA | |
| Hepatology Physician | 207RI0008X | A89043 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A89043 | CA |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 214
Los Angeles, CA 90095-9722
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2006 N Riverside Ave Ste A
Rialto, CA 92377-4697
Phone (909) 881-3032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316004757 | Other | CA | CCS PANELED |
| 1316004757 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89043 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| Loma Linda University Physicians Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| UCLA Medical Group | Internal Medicine | Past | Accepting new patients |
Locations
10833 Le Conte Ave
#77120
Los Angeles, CA 90095
Phone (310) 825-6078
File 55737
Los Angeles, CA 90074
200 UCLA Medical Plz
Ste 214
Los Angeles, CA 90095
Phone (310) 794-7788
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
200 Medical Plz
Ste 214
Los Angeles, CA 90095
200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
Interoperability endpoints
- melkabany12491@direct.uclahealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1316004757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 214",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900959722",
"telephone_number": "310-794-7788",
"fax_number": "310-794-1039"
}
],
"practiceLocations": [
{
"address_1": "2006 N Riverside Ave Ste A",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923774697",
"country_code": "US",
"telephone_number": "909-881-3032",
"fax_number": "909-881-0668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL KABANY",
"first_name": "MOHAMED",
"middle_name": "M. ELDIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A89043",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "CA",
"license": "A89043",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A89043",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCS PANELED",
"identifier": "1316004757",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316004757",
"state": "CA"
}
],
"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 Dec 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.