NPIMap

Individual provider Active NPI

Ahmad Jabaiah, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1396122081
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A150358 Issued in CA
Practice address
1700 E Cesar E Chavez Ave Ste 3900
Los Angeles, CA 90033
Phone
(323) 307-0800
Fax
(323) 307-0803
NPI assigned
May 1, 2015
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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 A150358 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave Ste 3900
Los Angeles, CA 90033

Mailing address

1700 E Cesar E Chavez Ave Ste 3900
Los Angeles, CA 90033-2436
Phone (323) 307-0800

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
I20181213002811 CA Practitioner - Internal MedicinePractitioner - Hospitalist 5092050377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

15503 Ventura Blvd
Suite 340
Encino, CA 91436-3132
Phone (818) 461-8148

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150358CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Apr 1, 2020 Accepting new patients
Senior Care Clinic a Medical Corporation CurrentSince Oct 1, 2018 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

1700 E Cesar E Chavez Ave
Ste 3900
Los Angeles, CA 90033
Phone (323) 307-0800

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: ajabaiah771918@direct.uclahealth.org

Organizations & group practices 6

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 7

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1396122081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332436",
            "telephone_number": "323-307-0800",
            "fax_number": "323-307-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE STE 3900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-307-0800",
            "fax_number": "323-307-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAIAH",
        "first_name": "AHMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.