Reem Ali Abu-Libdeh, MD
Individual provider Active NPI Psychiatry Physician · Los Angeles, CA
NPI 1972985158 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1972985158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A147321 (CA)
- Practice address
- 11980 San Vicente Blvd Ste 102
Los Angeles, CA 90049 - Phone
- (310) 301-7396
- Fax
- (310) 828-5165
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 64.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013002980 | CA | Practitioner - Psychiatry | 6507131778 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A147321 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| County of Ventura | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Aristamd | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients | |
| Indiana University Health Ball Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
2204 National Ave
San Diego, CA 92113
Phone (619) 515-2355
4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777
800 S Victoria Ave
#L4640
Ventura, CA 93009
300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A147321 | CA | Yes |
Addresses
Primary practice location
11980 San Vicente Blvd Ste 102
Los Angeles, CA 90049
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
6000 Sepulveda Blvd Ste 2660
Culver City, CA 90230-6432
Phone (310) 301-7396
Other providers in Los Angeles, CA
- Seyed Mahdi Abtahi
- Fereidoun G Abtin
- Katayoun Abtin
- Joseph Abu-Dalu
- Amir Abu-Khalil
- Rachel Abucasis
- Kathleen Mae Delos Reyes Abueva
- Ahmed Y. M. Abuhamad
- Marwa B Abulhasan
- Abundance Psychotherapy Center Inc
All providers in Los Angeles, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.