Active NPI
Mohamed El-Gabalawy, MD
- Psychiatry Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C50305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C503050 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C50305 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners a Medical Group Inc | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | 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.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Neurology with Special Qualifications in Child Neurology Physician
- Irvine, CA
- NPI 1497169494
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Psychiatric Residential Treatment Facility
- Costa Mesa, CA
- NPI 1467998021
-
- Psychiatric Residential Treatment Facility
- Costa Mesa, CA
- NPI 1871040931
-
- Psychiatric Residential Treatment Facility
- Santa Ana, CA
- NPI 1962999052
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Costa Mesa, CA
- NPI 1750081493
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.