NPIMap

Individual provider Active NPI

Victor Joseph Kabbany, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1568623635
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A103370 Issued in CA
Practice address
4281 Katella Ave Ste 111
Los Alamitos, CA 90720-3588
Phone
(562) 554-5430
Fax
(562) 800-4049
NPI assigned
Jun 21, 2008
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 A103370 CA Primary

Addresses

Primary practice location

4281 Katella Ave Ste 111
Los Alamitos, CA 90720-3588

Mailing address

4281 Katella Ave Ste 111
Los Alamitos, CA 90720-3588
Phone (562) 554-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000764 CA Practitioner - NephrologyPractitioner - Internal Medicine 4587716469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victor Kabbany MD IncGroup PAC ID 5496281172, 3 clinicians

Practice addresses (Care Compare)

4281 Katella Ave
Suite 111
Los Alamitos, CA 90720-3588
Phone (562) 596-1667

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103370CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Kabbany MD Inc CurrentSince Nov 1, 2024 Accepting new patients
Southland Renal Medical Group, Inc. Past Accepting new patients
Southland Renal Medical Group, Inc. Past Accepting new patients

Locations

3033 W Orange Ave
Anaheim, CA 92804
Phone (714) 229-5649

7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900

3650 South St
Ste 208
Lakewood, CA 90712
Phone (562) 596-1667

4281 Katella Ave
Ste 111
Los Alamitos, CA 90720
Phone (562) 554-5430

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vkabbany137327@direct.memorialcare.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bellflower Post AcuteBellflower, CA, CCN 055408 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2022
Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1568623635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 111",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203588",
            "telephone_number": "562-554-5430",
            "fax_number": "562-800-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 KATELLA AVE STE 111",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203588",
            "telephone_number": "562-554-5430",
            "fax_number": "562-800-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBANY",
        "first_name": "VICTOR",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.