Organization Active NPI

NHJS Inc

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1922584135
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A136229 Issued in CA
Legal business name
NHJS INC
Practice address
2299 N Indian Canyon Dr
Palm Springs, CA 92262
Phone
(760) 325-2937
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Abdallah Nazmi Abu-Samrah, MDNPI 1699031450
Title
President
Phone
(951) 231-7173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A136229 CA Primary

Addresses

Primary practice location

2299 N Indian Canyon Dr
Palm Springs, CA 92262

Mailing address

7088 Gaskin PL
Riverside, CA 92506-5622
Phone (951) 231-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190103001951 CA Part B Supplier - Clinic/Group Practice 6709122203 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA; Riverside, CA

National Provider Directory

National Provider Directory

Locations

6850 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (951) 213-6890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1922584135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 GASKIN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065622",
            "telephone_number": "951-231-7173",
            "fax_number": "909-886-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-325-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHJS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "ABU-SAMRAH",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_middle_name": "NAZMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-231-7173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A136229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.