NPIMap

Individual provider Active NPI

Ghasan M. Tabel, MD

  • Hospitalist Physician
  • Corona, CA
National Provider Identifier
1750458659
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A88852 Issued in CA
Practice address
160 W Foothill Pkwy # 105-348
Corona, CA 92882-8545
Phone
(951) 374-0025
NPI assigned
Nov 29, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88852 CA
Hospitalist Physician 208M00000X A88852 CA Primary

Addresses

Primary practice location

160 W Foothill Pkwy # 105-348
Corona, CA 92882-8545

Mailing address

160 W Foothill Pkwy Ste 105-348
Corona, CA 92882-8545
Phone (714) 501-3824

Other identifiers 1

IdentifierTypeStateIssuer
00A888520MedicaidCA

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
I20060207000593 CA Practitioner - Internal Medicine 1850306218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88852CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ghasan M Tabel MD Inc Internal Medicine CurrentSince Mar 1, 2009 Accepting new patients
Ghasan Tabel Medical Professional Corporation Internal Medicine Current Accepting new patients
Provident Hospitalist Associates, a Professional Medical Corporation Internal Medicine Past Accepting new patients
Inland Hospitalists Med GP Internal Medicine Past Accepting new patients

Locations

160 W Foothill Pkwy
#105200
Corona, CA 92882
Phone (714) 501-3824

160 W Foothill Pkwy
#105348
Corona, CA 92882
Phone (951) 374-0025

160 W Foothill Pkwy
Ste 105
Corona, CA 92882
Phone (949) 561-2116

160 W Foothill Pkwy
Ste 105348
Corona, CA 92882
Phone (951) 999-9999

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1750458659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W FOOTHILL PKWY STE 105-348",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828545",
            "telephone_number": "714-501-3824",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W FOOTHILL PKWY # 105-348",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828545",
            "telephone_number": "951-374-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABEL",
        "first_name": "GHASAN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88852",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A88852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A888520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.