Sam Abaza, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A86393 Issued in CA

Practice address

1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172

Phone

(098) 604-2549

NPI assigned

May 9, 2006

Last updated

Nov 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Moutasem Abaza Former name

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

Specialty

Dermatology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

91.59

Promoting interoperability

94

Improvement activities

40

Cost

76.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dermesurge Inc

  • Dermatology Physician
  • Diamond Bar, CA
  • NPI 1538743752
  Medicare reassignment NPD Authorized official
• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855
  Medicare reassignment Care Compare group
• Family Primary and Specialty Care Clinic

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1871487199
  Medicare reassignment NPD
• Dermesurge Inc

  • Medical Specialty Clinic/Center
  • Diamond Bar, CA
  • NPI 1487421988
  NPD Authorized official
• Antelope Valley Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • Palmdale, CA
  • NPI 1831496231
  NPD (past)
• Bakersfield Memorial Hospital

  dba Bakersfield Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Fresno Specialty Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1861930729
  NPD (past)
• Hanford Specialty Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • Hanford, CA
  • NPI 1891133302
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  dba Visalia Dermatology & Skin Cancer

  • Non-Pharmacy Dispensing Site
  • Visalia, CA
  • NPI 1083247795
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  dba Dermatology & Skin Cancer of Bakersfield 4

  • Non-Pharmacy Dispensing Site
  • Delano, CA
  • NPI 1316572068
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  dba Skin and Cancer Institute - Turlock

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1831148501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE STE K",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654172",
            "telephone_number": "098-604-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE STE K",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654172",
            "telephone_number": "098-604-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 W Avenue Q Ste B",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935513892",
            "country_code": "US",
            "telephone_number": "661-947-9000",
            "fax_number": "661-266-8751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928053710",
            "country_code": "US",
            "telephone_number": "909-860-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABAZA",
        "first_name": "SAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A86393",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A86393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOUTASEM",
            "last_name": "ABAZA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• A Beloved Home of Diamond Bar LLC
• A-One Medical Group, Inc. a Professional Corporation
• A-One Medical Group, Inc. a Professional Corporation
• A&J Rehab Inc
• Abans Inc (Amada Senior Care Pomona CA)
• Abba Hospice Inc
• Raghad Abdo
• Kristofer Abejuela
• Aberdeen Care LLC Dba Diamond Bar Rcfe
• Ritz-Albert Ablaza, PTA

• Dermatology Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.