Individual provider Active NPI

Naim S Kassar, M.D.

  • Obstetrics & Gynecology Physician
  • Glendora, CA
National Provider Identifier
1417959628
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C41008 Issued in CA
Practice address
315 E Route 66
Ste 201
Glendora, CA 91740-6257
Phone
(626) 963-4124
Fax
(626) 963-6773
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C41008 CA Primary

Addresses

Primary practice location

315 E Route 66
Ste 201
Glendora, CA 91740-6257

Mailing address

315 E Route 66
Ste 201
Glendora, CA 91740-6257
Phone (626) 963-4124

Other identifiers 1

IdentifierTypeStateIssuer
00LC410080MedicaidCA

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
I20050408001112 CA Practitioner - Obstetrics/Gynecology 4385611342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

315 E Route 66
Glendora, CA 91740-6244
Phone (626) 963-4124

Hospital & facility affiliations

  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
60.04
Promoting interoperability
87
Improvement activities
40
Cost
69.31

Merit-based Incentive Payment System (MIPS)

Final score
82.35 of 100Reported as group
Quality
52.92
Promoting interoperability
93
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41008CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Physician Partners Specialist CurrentSince Jan 1, 2020 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
Emanate Health Medical Group Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Emanate Health Medical Group Current Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

315 E Route 66
Ste 201
Glendora, CA 91740
Phone (626) 963-4124

315 E Route 66
Glendora, CA 91740
Phone (626) 963-4124

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

315 E Route 66
Ste 102
Glendora, CA 91740

315 E Route 66
#101
Glendora, CA 91740
Phone (626) 963-4124

415 W Carroll Ave
Fl 1
Glendora, CA 91741
Phone (626) 963-4124

541 S Pasadena Ave
#101
Glendora, CA 91741
Phone (626) 610-1850

315 E Route 66
Ste 101
Glendora, CA 91740
Phone (626) 963-4124

315 E Route 66
Ste 2011
Glendora, CA 91740

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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 5

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1417959628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E ROUTE 66",
            "address_2": "STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406257",
            "telephone_number": "626-963-4124",
            "fax_number": "626-963-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ROUTE 66",
            "address_2": "STE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406257",
            "telephone_number": "626-963-4124",
            "fax_number": "626-963-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAR",
        "first_name": "NAIM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C41008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00LC410080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.