NPIMap

Individual provider Active NPI

Wilfredo R. Abesamis, M.D.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1992754832
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52129 Issued in CA
Practice address
6386 Alvarado CT
310
San Diego, CA 92120-4905
Phone
(619) 229-5075
Fax
(619) 287-0833
NPI assigned
May 9, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060886 MI
Internal Medicine Physician 207R00000X C52129 CA Primary

Addresses

Primary practice location

6386 Alvarado CT
310
San Diego, CA 92120-4905

Mailing address

6386 Alvarado CT
310
San Diego, CA 92120-4905
Phone (619) 229-5075

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
I20110407000130 CA Practitioner - Internal Medicine 3870686116 Reassigns benefits to 2 organizations
Practice locations: National City, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.94 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
53.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52129CAMDInternal Medicine Physician
52129CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 24, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Apr 24, 2017 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Cardia Sense AMC Past Accepting new patients
Benjamin O Camacho M D F a C P a Medical Corporation PastSince Mar 1, 2003 Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6104

Interoperability endpoints

  • Direct secure messaging: wabesamis34113@sharphealthcare.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Country Manor la Mesa Healthcare CenterLa Mesa, CA, CCN 055910 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 7, 2014
Apr 7, 2014

Owned or controlled facilities with NPI records 1

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

  • Ag la Mesa, LLC

    dba Country Manor La Mesa Healthcare Center

    • Skilled Nursing Facility
    • La Mesa, CA
    • NPI 1457345001

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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 3

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1992754832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5075",
            "fax_number": "619-287-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204905",
            "telephone_number": "619-229-5075",
            "fax_number": "619-287-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABESAMIS",
        "first_name": "WILFREDO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060886",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.