Active NPI
Tarek Ahmed Abou El Kheir, M.D.
- Obstetrics & Gynecology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C54454
- Practice address
- 1800 Western Ave Ste 204
San Bernardino, CA 92411-1353 - Phone
- (909) 474-9952
- Fax
- (909) 474-9951
- NPI assigned
- Mar 11, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C54454 | CA | Primary |
Addresses
Primary practice location
1800 Western Ave Ste 204
San Bernardino, CA 92411-1353
Mailing address
1800 Western Ave Ste 204
San Bernardino, CA 92411-1353
Phone (909) 474-9952
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170123001498 | CA | Practitioner - Obstetrics/Gynecology | 7113989575 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54454 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| MCR Health, Inc. | Past | Accepting new patients |
Locations
4723 W Main St
Ste H
Guadalupe, CA 93434
Phone (805) 343-2004
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
1418 E Main St
Ste 210
Santa Maria, CA 93454
Phone (805) 928-3678
210 S Palisade Dr
Ste 102
Santa Maria, CA 93454
Phone (805) 928-7951
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
CA
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
- Federally Qualified Health Center (FQHC)
- Arroyo Grande, CA
- NPI 1447277488
-
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1477521789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WESTERN AVE STE 204",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111353",
"telephone_number": "909-474-9952",
"fax_number": "909-474-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 WESTERN AVE STE 204",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924111353",
"telephone_number": "909-474-9952",
"fax_number": "909-474-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOU EL KHEIR",
"first_name": "TAREK",
"middle_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-11",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C54454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.