Sam Abaza, M.D.
Individual provider Active NPI Dermatology Physician · Diamond Bar, CA
NPI 1831148501 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1831148501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A86393 (CA)
- Practice address
- 1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172 - Phone
- (098) 604-2549
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- 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 Corporation
Practice addresses (Care Compare)
1111 Grand Ave
Suite K
Diamond Bar, CA 91765-4172
Phone (909) 860-4254
5600 California Ave
Bakersfield, CA 93309-1614
Phone (661) 322-2700
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.69 of 100
- Quality
- 91.59
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 76.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 47 |
| Removal of skin lesions | 153 |
| Removal of skin cancer | 761 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 46 |
| Skin biopsy | 102 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051223000167 | CA | Practitioner - Dermatology | 9436122488 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86393 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermesurge Inc | Current | Accepting new patients | |
| Family Primary and Specialty Care Clinic | Current |
Accepting new patients | |
| Dermesurge Inc | Dermatology | Current |
Accepting new patients |
| La Laser Center PC, a Professional Medical Corporation | Past |
Accepting new patients | |
| Fresno Specialty Surgery Center PC | Past | Accepting new patients | |
| Hanford Specialty Surgery Center, PC | Past | Accepting new patients | |
| La Laser Center PC, a Professional Medical Corporation | Past |
Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Antelope Valley Surgery Center, PC | Past |
Accepting new patients | |
| La Laser Center PC, a Professional Medical Corporation | Past |
Accepting new patients |
Locations
175 S Harbor Blvd
Anaheim, CA 92805
Phone (909) 860-4254
1111 Grand Ave
Ste K
Diamond Bar, CA 91765
Phone (909) 860-4254
631 W Avenue Q
Ste B
Quartz Hill, CA 93551
Phone (661) 425-0295
1210 Nevada St
Redlands, CA 92374
Phone (909) 809-5250
1210 Nevada St
Ste 100
Redlands, CA 92374
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A86393 | CA | |
| Dermatology Physician | 207N00000X | A86393 | CA | Yes |
Addresses
Primary practice location
1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172
Mailing address
1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172
Phone (098) 604-2549
Other practice location 1
631 W Avenue Q Ste B
Palmdale, CA 93551-3892
Phone (661) 947-9000
Other practice location 2
175 S Harbor Blvd
Anaheim, CA 92805-3710
Phone (909) 860-4254
Other names
- Moutasem Abaza
Other providers in Diamond Bar, CA
- 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
- Abba Hospice Inc
- Raghad Abdo
- Kristofer Abejuela
- Aberdeen Care LLC Dba Diamond Bar Rcfe
- Ritz-Albert Ablaza
All providers in Diamond Bar, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.