Active NPI
Emmanuel Awdishu, MD
- Family Medicine Physician
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A195110
- Practice address
- 31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895 - Phone
- (951) 302-4700
- Fax
- (951) 302-4701
- NPI assigned
- Jul 15, 2019
- Last updated
- Sep 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A195110 | CA | Primary |
Addresses
Primary practice location
31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895
Mailing address
31720 Temecula Pkwy Ste 203
Temecula, CA 92592-5895
Phone (951) 302-4700
Other practice location 1
3989 W Stetson Ave Ste 100
Hemet, CA 92545-9696
Phone (951) 302-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
31720 Temecula Pkwy
Suite 203
Temecula, CA 92592-5895
Phone (951) 302-4700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A195110 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Valley Family Physicians Inc. | Family Medicine | Current | Accepting new patients |
| Vituity - Michigan Hospitalists PC | Family Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Iep - Post Acute Care PLLC | Family Medicine | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients |
Locations
3989 W Stetson Ave
Ste 100
Hemet, CA 92545
Phone (951) 302-4700
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
31720 US Highway 79
Ste 203
Temecula, CA 92592
Phone (951) 302-4700
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
205 N East Ave
Fl 2
Jackson, MI 49201
Phone (517) 205-7060
505 N Jackson St
Jackson, MI 49201
Phone (517) 748-5500
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eawdishu597074@direct.hfhs.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Temecula, CA
- NPI 1033323746
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1699212803
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1720630205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31720 TEMECULA PKWY STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925895",
"telephone_number": "951-302-4700",
"fax_number": "951-302-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31720 TEMECULA PKWY STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925895",
"telephone_number": "951-302-4700",
"fax_number": "951-302-4701"
}
],
"practiceLocations": [
{
"address_1": "3989 W Stetson Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925459696",
"country_code": "US",
"telephone_number": "951-302-4700",
"fax_number": "951-302-4701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AWDISHU",
"first_name": "EMMANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A195110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.