Organization Active NPI

Bassam Bilal MD Inc

  • Clinic/Center
  • Irvine, CA
National Provider Identifier
1699464487
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BASSAM BILAL MD INC
Practice address
260 Merit
Irvine, CA 92618-1416
Phone
(949) 344-5662
Fax
(949) 502-8887
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Bassam Bilal, MDNPI 1306890827
Title
MD/ Ceo
Phone
(949) 344-5662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

260 Merit
Irvine, CA 92618-1416

Mailing address

15642 Sand Canyon Ave Unit 54102
Irvine, CA 92619-5439
Phone (949) 344-5662

National Provider Directory

National Provider Directory

Locations

15642 Sand Canyon Ave
Unit 54102
Irvine, CA 92619
Phone (949) 344-5662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1699464487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 SAND CANYON AVE UNIT 54102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926195439",
            "telephone_number": "949-344-5662",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MERIT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181416",
            "telephone_number": "949-344-5662",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM BILAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "BILAL",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "MD/ CEO",
        "authorized_official_telephone_number": "949-344-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.