Individual provider Active NPI

Sam W. Abdelmelek, MD

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1649414855
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A106876 Issued in CA
Practice address
5750 Downey Ave Suite201
Lakewood, CA 90712
Phone
(562) 633-1616
Fax
(562) 633-5053
NPI assigned
May 1, 2009
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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 A106876 CA Primary

Addresses

Primary practice location

5750 Downey Ave Suite201
Lakewood, CA 90712

Mailing address

PO Box 6181
Lakewood, CA 90714-6181
Phone (562) 633-1616

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
I20090928000654 CA Practitioner - Internal Medicine 9830245158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aghaby Comprehensive Community Health CenterGroup PAC ID 3476851817, 4 clinicians

Practice addresses (Care Compare)

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034

349 W Compton Blvd
Compton, CA 90220-3110
Phone (424) 785-5170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.53 of 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Sep 18, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Mar 13, 2024 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Oct 20, 2024 Accepting new patients
Advanced Surgical Associates CurrentSince Jul 1, 2017 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine CurrentSince Mar 13, 2024 Accepting new patients
Promed Service Center Inc. Internal Medicine Current Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Oct 20, 2024 Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine Past Accepting new patients
Sam W. Abdelmelek,MD,Inc. Internal Medicine Past Accepting new patients

Locations

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

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

3300 E South St
Ste 201
Lakewood, CA 90805
Phone (562) 531-0837

3650 South St
Ste 110
Lakewood, CA 90712
Phone (562) 531-6140

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sabdelmelek113483@direct.memorialcare.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1649414855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6181",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907146181",
            "telephone_number": "562-633-1616",
            "fax_number": "562-633-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE SUITE201",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-633-1616",
            "fax_number": "562-633-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMELEK",
        "first_name": "SAM",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.