Individual provider Active NPI

Noha Abdelgelil, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1457926404
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A195205 Issued in CA
Practice address
10060 Timberline CT
San Diego, CA 92131-1420
Phone
(858) 230-2375
NPI assigned
May 21, 2021
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 A195205 CA Primary

Addresses

Primary practice location

10060 Timberline CT
San Diego, CA 92131-1420

Mailing address

10060 Timberline CT
San Diego, CA 92131-1420
Phone (858) 230-2375

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
I20240903000824 CA Practitioner - Internal Medicine 4385183581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Liver Centers IncGroup PAC ID 3173584604, 7 clinicians
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians

Practice addresses (Care Compare)

131 Orange Ave
Suite 101
Coronado, CA 92118-1408
Phone (619) 990-1698

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A195205CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Aug 15, 2024 Accepting new patients
Eastlake Urgent Care LLC CurrentSince May 25, 2025 Accepting new patients
Southern California Liver Centers Inc CurrentSince Sep 30, 2024 Accepting new patients
Gateway Comprehensive Medical Group Past Accepting new patients
Southern California Transplantation Associates Inc Past Accepting new patients
Eastlake Urgent Care a Professional Medical Corporation PastSince May 25, 2025 Accepting new patients
Gateway Comprehensive Medical Group Past Accepting new patients

Locations

2436 Fenton St
Bldg 6
Chula Vista, CA 91914
Phone (619) 581-0509

256 Landis Ave
Ste 204
Chula Vista, CA 91910
Phone (619) 427-0665

131 Orange Ave
Ste 101
Coronado, CA 92118
Phone (619) 522-0399

735 E Ohio Ave
Ste 201
Escondido, CA 92025
Phone (619) 303-8341

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

6216 Brockton Ave
Ste 212
Riverside, CA 92506
Phone 6195220399412

131 Orange Ave
Ste 101B
San Diego, CA 92118
Phone (619) 522-0399

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1457926404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 TIMBERLINE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311420",
            "telephone_number": "858-230-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 TIMBERLINE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311420",
            "telephone_number": "858-230-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELGELIL",
        "first_name": "NOHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A195205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.