NPIMap

Individual provider Active NPI

Abdallah S Farrukh, MD

  • Neurological Surgery Physician
  • Lancaster, CA
National Provider Identifier
1932135266
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C40576 Issued in CA
Practice address
42135 10TH St W
Suite # 301
Lancaster, CA 93534-7095
Phone
(661) 945-6931
Fax
(661) 945-4592
NPI assigned
Jun 26, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C40576 CA Primary

Addresses

Primary practice location

42135 10TH St W
Suite # 301
Lancaster, CA 93534-7095

Mailing address

42135 10TH St W
Suite # 301
Lancaster, CA 93534-7095
Phone (661) 945-6931

Other identifiers 1

IdentifierTypeStateIssuer
00C405760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000836 CA Practitioner - Neurosurgery 1951366400 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Antelope Valley NeuroscienceGroup PAC ID 0345205944, 6 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 301
Lancaster, CA 93534-6093
Phone (661) 945-6931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion29
Laminectomy or laminotomy (partial removal of spine bones)25
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C40576CAMDNeurological Surgery Physician
40576CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Neurological Surgery Current Accepting new patients
Embassy Surgery Center, LLC CurrentSince Mar 7, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

42135 10th St W
Ste 301
Lancaster, CA 93534
Phone (661) 945-6931

42135 10th St W
Ste 325
Lancaster, CA 93534
Phone (661) 237-5454

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Antelope Valley HospitalLancaster, CA, CCN 050056 Hospital Corporate Director Oct 25, 2007
Antelope Valley Home CareLancaster, CA, CCN 057786 Home health agency Corporate Director Dec 4, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 4

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1932135266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE # 301",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-945-6931",
            "fax_number": "661-945-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE # 301",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-945-6931",
            "fax_number": "661-945-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRUKH",
        "first_name": "ABDALLAH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C40576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C405760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.