Individual provider Active NPI

Amer Emile Jabara, M.D.

  • Nephrology Physician
  • Orange, CA
National Provider Identifier
1760475701
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G069806 Issued in CA
Practice address
705 W la Veta Ave Ste 107
Orange, CA 92868-4447
Phone
(714) 639-4901
Fax
(714) 771-5389
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G069806 CA Primary

Addresses

Primary practice location

705 W la Veta Ave Ste 107
Orange, CA 92868-4447

Mailing address

705 W la Veta Ave Ste 107
Orange, CA 92868-4447
Phone (714) 639-4901

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
I20100308000382 CA Practitioner - NephrologyPractitioner - Internal Medicine 0042396855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Specialists Medical Group, Inc.Group PAC ID 4981780798, 5 clinicians

Practice addresses (Care Compare)

520 Superior Ave
Suite 340
Newport Beach, CA 92663-3674
Phone (949) 631-9215

Hospital & facility affiliations

  • St Joseph Hospital Renal Center Dialysis facility, Orange, CA, CCN 052368
  • DaVita Tustin Dialysis Dialysis facility, Santa Ana, CA, CCN 052897
  • DaVita Mainplace Dialysis Center Dialysis facility, Orange, CA, CCN 052503
  • Rai - Laguna Canyon - Irvine Dialysis facility, Irvine, CA, CCN 052898
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G069806CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amer.jabara.1@7431.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1760475701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-639-4901",
            "fax_number": "714-771-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE STE 107",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-639-4901",
            "fax_number": "714-771-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABARA",
        "first_name": "AMER",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G069806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.