BASSAM GHANEM MD – NPI #1528167830
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

BASSAM GHANEM is a physician located in THOUSAND OAKS, CA. NPPES has assigned the NPI number 1528167830 to BASSAM GHANEM on September 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 4 years ago on Mar 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BASSAM GHANEM below.

NPI Profile for
BASSAM GHANEM

NPI Number
1528167830
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BASSAM GHANEM
Credentials
MD
Primary location
425 HAALAND DR STE 101
THOUSAND OAKS, CA 91361-5230
Phone: (805) 496-2949 Fax: (805) 204-4076
2 Other location(s):
1500 Duarte Rd
Duarte, CA 91010-3012
Phone: (626) 256-4673
Fax: (626) 408-3911
1157 Swallow Ln
Simi Valley, CA 93065-3155
Phone: (805) 527-2770
Fax: (805) 527-2870
Mailing address
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
CA A97459
207RX0202X
- Internal Medicine / Medical Oncology
CA A97459

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
1500 DUARTE RD,
DUARTE, CA 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BASSAM GHANEM is affiliated with the following medical group(s):
  • HOSPITAL
    • LOS ROBLES HOSPITAL & MEDICAL CENTER
      215 W JANSS RD
      THOUSAND OAKS, CA 91360
    • SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES
      2975 N SYCAMORE DR
      SIMI VALLEY, CA 93065
  • HOME HEALTH AGENCY
    • ACCESS TLC HOME HEALTH CARE
      1051 N MACLAY AVE
      SAN FERNANDO, CA 91340

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.