NPIMap

Organization Active NPI

El-Bershawi Medical Corp

Doing business as Pacific Pulmonary Medical Group

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverside, CA
National Provider Identifier
1386813103
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A90658 Issued in CA
Legal business name
EL-BERSHAWI MEDICAL CORP
Doing business as
Pacific Pulmonary Medical Group
Practice address
4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-8510
Phone
(951) 781-3672
Fax
(951) 781-0365
NPI assigned
Feb 26, 2008
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Dr. Ahmed El-Bershawi, M.D.NPI 1619946654
Title
Owner/Medical Director
Phone
(951) 781-3672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A90658 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A90658 CA Primary
Pulmonary Disease Physician 207RP1001X A90658 CA
Hospitalist Physician 208M00000X A90658 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A90658 CA

Addresses

Primary practice location

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-8510

Mailing address

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-8510
Phone (951) 781-3672

Other names 1

  • Pacific Pulmonary Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000414 CA Part B Supplier - Clinic/Group Practice 9032298492 Receives reassigned benefits from 130 practitioners
Practice locations: Irvine, CA; Riverside, CA

National Provider Directory

National Provider Directory

Locations

161 N McKinley St
Ste 105
Corona, CA 92879
Phone (951) 735-8138

16305 Sand Canyon Ave
Ste 225
Irvine, CA 92618
Phone (949) 679-6874

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

4980 Barranca Pkwy
Irvine, CA 92604
Phone (949) 551-6808

Practitioners & affiliated clinicians

Practitioners 142

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 142

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1386813103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-781-3672",
            "fax_number": "951-781-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL-BERSHAWI MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "EL-BERSHAWI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-781-3672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90658",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A90658",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A90658",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A90658",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A90658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pulmonary Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.