Mourad Mourice Abdelmeseh

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11555 Candela Dr
Rancho Cucamonga, CA 91701-8594

Phone

(310) 802-9883

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sands Medical Group LLCGroup PAC ID 8022542596, 3 clinicians

Michael F Sedrak MD a Medical CorporationGroup PAC ID 1658681994, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• S&S Medical Group

  dba Santo Antonio Urgent Care

  • Urgent Care Clinic/Center
  • Colton, CA
  • NPI 1811754690
  Medicare reassignment Care Compare group NPD
• Michael F Sedrak MD a Medical Corporation

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1053783258
  Medicare reassignment Care Compare group
• Izuchukwu Okpara MD Inc

  dba Omni Wound Physicians

  • Surgery Physician
  • Valencia, CA
  • NPI 1679004592
  Medicare reassignment
• Center for Advanced Laparoscopic Surgery Inc

  dba Calsurg

  • Surgery Physician
  • Tustin, CA
  • NPI 1235323361
  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1932964822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 CANDELA DR",
            "city": "RCH CUCAMONGA",
            "state": "CA",
            "postal_code": "917018594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 CANDELA DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018594",
            "telephone_number": "310-802-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMESEH",
        "first_name": "MOURAD",
        "middle_name": "MOURICE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby's Senior Home Care LLC (Amada Senior Care)
• Abc Pharmacy
• Taha Abdelaal, M.D
• Ashraf Abdelhak
• Manal K Abdelkarim, DDS
• Aberisse Home Health Provider, Inc
• Timothy Abesamis, BCBA
• Hussein Abidali, DO
• Able Mediaiton and Counseling Services LLC
• Joshua Abney

• Physician Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.