Aghaby Comprehensive Community Health Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER

Practice address

349 W Compton Blvd
Compton, CA 90220-3110

Phone

(310) 438-2151

Fax

(424) 217-4921

NPI assigned

Feb 27, 2015

Last updated

Feb 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nagy P Bebawy, M.D.NPI 1558434464

Title

Chief Executive Officer

Phone

(310) 438-2151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV3 enrollments

Enrollment records 3

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922490960. Details of each certification follow.

• CCN 921811 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 921811

Legal name

AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 8, 2019

Last certification

Nov 8, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

349 W Compton Blvd
Compton, CA 90220-3110

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nagy Philips Bebawy, M.D.

  • Contractor
  • Corona, CA
  • NPI 1558434464

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nagy Philips Bebawy, M.D.

  • Contractor
  • Corona, CA
  • NPI 1558434464
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Cristina Llamanzares Pajara, NP-C

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1205275500

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jessica Barragan, N.P.

  • Family Nurse Practitioner
  • Chatsworth, CA
  • NPI 1598107096
  Medicare reassignment NPD
• Gity Qader

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1124612080

  Single Specialty

  Medicare reassignment NPD
• David Bebawy, M.D.

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1003128885

  Internal Medicine

  Care Compare group NPD (past)
• Sam W. Abdelmelek, MD

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1649414855
  Care Compare group
• Geovanee Santiago Laya, APRN-CNP

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1003799198
  NPD
• Aydhe Rojas, MD

  • Internal Medicine Physician
  • North Las Vegas, NV
  • NPI 1689750267
  NPD (past)

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1922490960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203110",
            "telephone_number": "310-438-2151",
            "fax_number": "424-217-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 W COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203110",
            "telephone_number": "310-438-2151",
            "fax_number": "424-217-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "BEBAWY",
        "authorized_official_first_name": "NAGY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-438-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Marie Adams, MA
• Mamiya Lonnett Adams, LVN
• Shontanese Adams
• Matthew Adeleke
• Victor K Afriyie, RPH
• Aghapy Meddical Group Inc
• Alondra Aguilar Ortiz
• Norma R Aguilar, MD
• Wendy Aguilar
• Charles C Alamah, RAS

• Internal Medicine Physician in Compton, CA
• Providers in Compton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.