Individual provider Active NPI

Bassam Omari, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynwood, CA
National Provider Identifier
1528078425
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A43287 Issued in CA
Practice address
3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262-2661
Phone
(562) 698-0271
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A43287 CA Primary

Addresses

Primary practice location

3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262-2661

Mailing address

3680 E Imperial Hwy
Ste 502
Lynwood, CA 90262-2661
Phone (562) 698-0271

Other identifiers 1

IdentifierTypeStateIssuer
00A432870MedicaidCA

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
I20100427000077 CA Practitioner - Other (Physician)Practitioner - General SurgeryPractitioner - Cardiac Surgery 6800923624 Reassigns benefits to 3 organizations
Practice locations: Lynwood, CA

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy CT Surgery PartnershipGroup PAC ID 5698939957, 19 clinicians

Practice addresses (Care Compare)

901 San Bernardino Rd
Suite 102
Upland, CA 91786-4988
Phone (909) 579-6721

Hospital & facility affiliations

  • Lac/Harbor-UCLA Med Center Hospital, Torrance, CA, CCN 050376
  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

National Provider Directory

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

Practice roles (12 of 13)

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Mar 1, 2013 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jul 1, 1999 Accepting new patients
Synergy CT Surgery Partnership Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 15, 2016 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 1999 Accepting new patients
County of Los Angeles Current Accepting new patients
Torrance Memorial Medical Center CurrentSince Mar 1, 2013 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
St Francis Medical Center Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Harbor-UCLA Medical Foundation, Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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 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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1528078425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "STE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622661",
            "telephone_number": "562-698-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY",
            "address_2": "STE 502",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622661",
            "telephone_number": "562-698-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARI",
        "first_name": "BASSAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A43287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A432870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.