Individual provider Active NPI

Sherif M. Ammar, M.D.

  • Otolaryngology Physician
  • Riverside, CA
National Provider Identifier
1497746598
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C52571 Issued in CA
Practice address
10800 Magnolia Ave
Mob-2, 5TH Floor, Head and Neck Surgery
Riverside, CA 92505-3043
Phone
(951) 353-5681
Fax
(951) 353-5722
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 224198 MA
Otolaryngology Physician 207Y00000X C52571 CA Primary

Addresses

Primary practice location

10800 Magnolia Ave
Mob-2, 5TH Floor, Head and Neck Surgery
Riverside, CA 92505-3043

Mailing address

70 Palatine
Unit 320
Irvine, CA 92612-7661
Phone (201) 725-0138

Other identifiers 1

IdentifierTypeStateIssuer
2107902MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20090403000415 CA Practitioner - Otolaryngology 2567493463 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 302
Redondo Beach, CA 90277-3043
Phone (310) 798-1515

6501 Truxtun Ave
Bakersfield, CA 93309-0633
Phone (661) 322-2206

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
21.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224198MAMDClinical Social Worker
C52571CAMDOtolaryngology Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
California ENT Facial Plastics Institute Inc CurrentSince Sep 7, 2013 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 12, 2007 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 6, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 12, 2007 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Otolaryngology Past Accepting new patients
James Labagnara MD PA Otolaryngology Past Accepting new patients
William J Wickwire M D Inc a Professional Corporation PastSince Feb 1, 1991 Accepting new patients
Mount Sinai School of Medicine Past Accepting new patients

Locations

6501 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 322-2206

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

10800 Magnolia Ave
Fl 5
Riverside, CA 92505
Phone (951) 353-5681

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1497746598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PALATINE",
            "address_2": "UNIT 320",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926127661",
            "telephone_number": "201-725-0138",
            "fax_number": "951-353-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MAGNOLIA AVE",
            "address_2": "MOB-2, 5TH FLOOR, HEAD AND NECK SURGERY",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053043",
            "telephone_number": "951-353-5681",
            "fax_number": "951-353-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMAR",
        "first_name": "SHERIF",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "224198",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C52571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107902",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.