NPIMap

Individual provider Active NPI

Mohamad Albouidani, MD

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1770670713
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A110080 Issued in CA
Practice address
600 City Pkwy W
Orange, CA 92868
Phone
(714) 539-3100
NPI assigned
Oct 10, 2006
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 A110080 CA Primary
Internal Medicine Physician 207R00000X 2006027970 MO

Addresses

Primary practice location

600 City Pkwy W
Orange, CA 92868

Mailing address

PO Box 28387
Anaheim, CA 92809
Phone (573) 225-5767

Other identifiers 2

IdentifierTypeStateIssuer
036115618OtherILILLINOIS LICENSE
2006027970OtherMOMISSOURI LICENSE

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
I20130304000600 CA Practitioner - HospitalistPractitioner - Internal Medicine 5698775526 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians
Im-FSR IncGroup PAC ID 6901035138, 28 clinicians
Sunrise Medical Associates IncGroup PAC ID 3870805823, 12 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

2701 S Bristol St
Santa Ana, CA 92704-6201
Phone (714) 754-5454

800 S Main St
Corona, CA 92882-3420
Phone (951) 339-8459

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
Careconnectmd Ca PC CurrentSince Oct 1, 2021 Accepting new patients
Sunrise Medical Associates Inc CurrentSince Apr 26, 2015 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Jan 18, 2017 Accepting new patients
Sunrise Post Acute Services Inc CurrentSince Mar 2, 2026 Accepting new patients
Perry County Health System Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Sunrise Medical Associates, PC Internal Medicine Past Accepting new patients

Locations

2600 S Main St
Corona, CA 92882
Phone (951) 736-4700

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6589

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGEJCA

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Royal Vista Care CenterSan Gabriel, CA, CCN 055105 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025
Costa del Sol HealthcareLos Angeles, CA, CCN 055697 Skilled nursing facility Contracted Managing Employee Aug 1, 2022
Direct Provider of Hospice Inc.Corona, CA, CCN A01766 Hospice 5% Or Greater Direct Ownership Interest (33.33%) Oct 30, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1770670713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28387",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92809",
            "telephone_number": "573-225-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CITY PKWY W",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-539-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBOUIDANI",
        "first_name": "MOHAMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110080",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006027970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "036115618",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2006027970",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.