Individual provider Active NPI

Omar J Bashir, D.O.

  • Internal Medicine Physician
  • Beaumont, CA
National Provider Identifier
1891730479
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8694 Issued in CA
Practice address
835 Highland Springs Ave Ste 301
Beaumont, CA 92223-5771
Phone
(909) 312-0085
NPI assigned
Jun 18, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A8694 CA Primary

Addresses

Primary practice location

835 Highland Springs Ave Ste 301
Beaumont, CA 92223-5771

Mailing address

1855 W Redlands Blvd
Redlands, CA 92373-3145
Phone (909) 312-0085

Other identifiers 1

IdentifierTypeStateIssuer
020A86940MedicaidCA

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
I20040909001436 CA Practitioner - Internal Medicine 4688640667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aha Medical Clinics, Inc.Group PAC ID 1355850835, 6 clinicians

Practice addresses (Care Compare)

835 Highland Springs Ave
Suite 301
Beaumont, CA 92223-5771
Phone (909) 312-0085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions35
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8694CAMDAddiction (Substance Use Disorder) Counselor
20A8694CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aha Medical Clinics, Inc. Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients

Locations

835 Highland Springs Ave
Ste 301
Beaumont, CA 92223
Phone (909) 312-0085

1855 W Redlands Blvd
Redlands, CA 92373
Phone (909) 890-0407

31607 Yucaipa Blvd
Ste 8
Yucaipa, CA 92399
Phone (909) 283-1186

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: obashir1250793@direct.llu.edu

Organizations & group practices 1

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 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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1891730479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733145",
            "telephone_number": "909-312-0085",
            "fax_number": "909-254-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HIGHLAND SPRINGS AVE STE 301",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235771",
            "telephone_number": "909-312-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHIR",
        "first_name": "OMAR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020A86940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

Verify at the official NPI Registry.