NPIMap

Individual provider Active NPI

Anas Entabi, M.D.

  • Internal Medicine Physician
  • Palmdale, CA
National Provider Identifier
1669465258
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A89044 Issued in CA
Practice address
38209 47TH St E
Suite C
Palmdale, CA 93552-3113
Phone
(661) 272-3777
Fax
(661) 272-9107
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 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 A89044 CA Primary

Addresses

Primary practice location

38209 47TH St E
Suite C
Palmdale, CA 93552-3113

Mailing address

PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 272-3777

Other identifiers 1

IdentifierTypeStateIssuer
00A890440MedicaidCA

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
I20050912000225 CA Practitioner - Internal Medicine 4082653712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anas Entabi MD IncGroup PAC ID 7012208093, 2 clinicians

Practice addresses (Care Compare)

540 W Palmdale Blvd
Suite B
Palmdale, CA 93551-4232
Phone (661) 274-9900

Hospital & facility affiliations

  • Pacific Care Group LLC Home health agency, Sherman Oaks, CA, CCN 559368
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anas Entabi M.D., Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
West Palmdale Health Care Internal Medicine Current Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

540 W Palmdale Blvd
#B
Palmdale, CA 93551
Phone (661) 274-9900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anas.entabi.p4@direct.hdmgipa.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 2

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1669465258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7007",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935397007",
            "telephone_number": "661-272-3777",
            "fax_number": "661-272-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38209 47TH ST E",
            "address_2": "SUITE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523113",
            "telephone_number": "661-272-3777",
            "fax_number": "661-272-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTABI",
        "first_name": "ANAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A890440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.