Individual provider Active NPI

Fakhar Abbas, MD

  • Internal Medicine Physician
  • Fremont, CA
National Provider Identifier
1578022422
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A176623 Issued in CA
Practice address
38143 Martha Ave
Fremont, CA 94536-3800
Phone
(408) 689-8761
Fax
(408) 689-8761
NPI assigned
Mar 19, 2019
Last updated
Sep 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 036162883 IL
Internal Medicine Physician 207R00000X A176623 CA Primary

Addresses

Primary practice location

38143 Martha Ave
Fremont, CA 94536-3800

Mailing address

262 Llano de Los Robles Ave
San Jose, CA 95136-4988

Other practice location 1

200 Jose Figueres Ave
San Jose, CA 95116-1500
Phone (408) 684-4104 ext. 30466

Other practice location 2

11234 Anderson St
Loma Linda, CA 92350-1716
Phone (909) 558-4884

Other practice location 3

611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3129

Other practice location 4

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6768

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
I20240926000909 CA Practitioner - HospitalistPractitioner - Internal Medicine 0345573168 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khurram Abbass MD IncGroup PAC ID 4183902463, 5 clinicians
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 480
San Jose, CA 95116-1595
Phone (408) 684-4104

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176623CAMDInternal Medicine Physician
036162883ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Apr 25, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Khurram Abbass MD Inc CurrentSince Jul 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 2, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Sep 2, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Fakhar Abbas MD, PC Current Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Mohammed Al-Temimi MD Inc PastSince Apr 20, 2025 Accepting new patients

Locations (25 of 31)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

38143 Martha Ave
Fremont, CA 94536
Phone (510) 713-2228

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11234 Anderson St
#1519
Loma Linda, CA 92350
Phone (909) 558-4884

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

200 Jose Figueres Ave
Ste 480
San Jose, CA 95116
Phone (408) 684-4104

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

2512 Samaritan Ct
Ste H
San Jose, CA 95124
Phone (408) 684-4104

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

Interoperability endpoints

  • Direct secure messaging: fabbas1236509@direct.llu.edu
  • Direct secure messaging: fabbas154280@direct.whhs.com
  • Direct secure messaging: fabbasmbbs349797@carlehiedirect.net
  • Direct secure messaging: fakhar.abbas.1@14468.direct.athenahealth.com
  • Direct secure messaging: fakhar.abbas.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14468/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1578022422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LLANO DE LOS ROBLES AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951364988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38143 MARTHA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363800",
            "telephone_number": "408-689-8761",
            "fax_number": "408-689-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Jose Figueres Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951161500",
            "country_code": "US",
            "telephone_number": "408-684-4104 x30466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923501716",
            "country_code": "US",
            "telephone_number": "909-558-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012501",
            "country_code": "US",
            "telephone_number": "217-383-3129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 Van Wyck Expy",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114182832",
            "country_code": "US",
            "telephone_number": "718-206-6768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "FAKHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036162883",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A176623",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.