Individual provider Active NPI

Mohamed El-Gabalawy, MD

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1407967631
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C50305 Issued in CA
Practice address
1111 S Arroyo Pkwy
Suite 405
Pasadena, CA 91105-3254
Phone
(626) 799-5520
Fax
(626) 799-5570
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C50305 CA Primary

Addresses

Primary practice location

1111 S Arroyo Pkwy
Suite 405
Pasadena, CA 91105-3254

Mailing address

PO Box 50611
Pasadena, CA 91115-0611
Phone (626) 799-5520

Other identifiers 1

IdentifierTypeStateIssuer
00C503050MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040117000156 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 5698676120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 288-1620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50305CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners a Medical Group Inc CurrentSince Nov 8, 2023 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Prohealth Partners, a Medical Group Current Accepting new patients
Guardian Healthcare Services Past Accepting new patients
Guardian Health Care Services Past Accepting new patients
Guardian Health Care Services Past Accepting new patients
Guardian Health Care Services Past Accepting new patients

Locations

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1407967631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50611",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150611",
            "telephone_number": "626-799-5520",
            "fax_number": "626-799-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ARROYO PKWY",
            "address_2": "SUITE 405",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053254",
            "telephone_number": "626-799-5520",
            "fax_number": "626-799-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-GABALAWY",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C50305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C503050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.