Individual provider Active NPI

Ishak Bishara, M.D.,

  • Family Medicine Physician
  • South El Monte, CA
National Provider Identifier
1467536987
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A453810 Issued in CA
Practice address
2006 Durfee Ave
South El Monte, CA 91733-3713
Phone
(626) 442-5015
Fax
(626) 442-7810
NPI assigned
Oct 24, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A453810 CA Primary

Addresses

Primary practice location

2006 Durfee Ave
South El Monte, CA 91733-3713

Mailing address

2006 Durfee Ave
South El Monte, CA 91733-3713
Phone (626) 442-5015

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
I20110523000217 CA Practitioner - Family Practice 7214113505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2006 Durfee Ave
South El Monte, CA 91733-3713
Phone (626) 442-5015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A453810CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durfee Family Care Medical Group a Professional Corporation Family Medicine CurrentSince Mar 25, 2011 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

2006 Durfee Ave
South El Monte, CA 91733
Phone (626) 442-5015

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ishak.bishara.p28@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 4

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 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1467536987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 DURFEE AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-442-5015",
            "fax_number": "626-442-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 DURFEE AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-442-5015",
            "fax_number": "626-442-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "ISHAK",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A453810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

Verify at the official NPI Registry.