Active NPI
Iman Abdel Bar, MD
- Pediatrics Physician
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A72354
- Practice address
- 2077 Harbor Blvd
Unit a
Costa Mesa, CA 92627-2630 - Phone
- (949) 646-3623
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A72354 | CA | Primary |
| General Practice Physician | 208D00000X | A72354 | CA |
Addresses
Primary practice location
2077 Harbor Blvd
Unit a
Costa Mesa, CA 92627-2630
Mailing address
2077 Harbor Blvd
Unit a
Costa Mesa, CA 92627-2630
Phone (949) 646-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A723540 | Medicaid | CA |
Other names 1
- Iman Bar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72354 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc. | Current | Accepting new patients | |
| Humboldt General Hospital | Current | Accepting new patients | |
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| Humboldt General Hospital Pharmacy | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Iman Abdel Bar MD Inc | Pediatrics | Past | Accepting new patients |
Locations
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273
888 S Figueroa St
Ste 600
Los Angeles, CA 90017
118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222
Organizations & group practices 8
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.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Corona del Mar, CA
- NPI 1366066680
-
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1962680033
-
- Critical Access Hospital
- Winnemucca, NV
- NPI 1750498010
-
- Pediatrics Physician
- Costa Mesa, CA
- NPI 1932620812
-
dba Advanced Urgent Care of Beverly Hills
- Urgent Care Clinic/Center
- Beverly Hills, CA
- NPI 1619682788
-
dba Anaheim Urgent Care
- Urgent Care Clinic/Center
- Anaheim, CA
- NPI 1891271771
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Institutional Pharmacy
- Winnemucca, NV
- NPI 1104970961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1326127804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2077 HARBOR BLVD",
"address_2": "UNIT A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272630",
"telephone_number": "949-646-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2077 HARBOR BLVD",
"address_2": "UNIT A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926272630",
"telephone_number": "949-646-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAR",
"first_name": "IMAN",
"middle_name": "ABDEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A72354",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A72354",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A723540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IMAN",
"last_name": "BAR",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.