Individual provider Active NPI

Samer Kebbeh, MD

  • General Practice Physician
  • Upland, CA
National Provider Identifier
1922629112
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A183194 Issued in CA
Practice address
1310 San Bernardino Rd Ste 101
Upland, CA 91786-4985
Phone
(909) 982-2719
Fax
(909) 946-9931
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A183194 CA Primary
Neurology Physician 2084N0400X A183194 CA

Addresses

Primary practice location

1310 San Bernardino Rd Ste 101
Upland, CA 91786-4985

Mailing address

3770 Canfield Rd
Pasadena, CA 91107-2252
Phone (626) 535-3521

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
I20240830003143 CA Practitioner - Neurology 7214476449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Group IncGroup PAC ID 1052544152, 19 clinicians

Practice addresses (Care Compare)

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 267-7495

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183194CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Group Inc Neurology CurrentSince Jul 1, 2024 Accepting new patients

Locations

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

2895 N Towne Ave
#1182
Pomona, CA 91767
Phone (909) 267-7495

630 N 13th Ave
Ste B
Upland, CA 91786
Phone (909) 294-2122

1310 San Bernardino Rd
Ste 101
Upland, CA 91786
Phone (909) 267-7495

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: samer.kebbeh.1@29399.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1922629112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 CANFIELD RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072252",
            "telephone_number": "626-535-3521",
            "fax_number": "909-946-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-982-2719",
            "fax_number": "909-946-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBBEH",
        "first_name": "SAMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A183194",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A183194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.