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HABIB MOUSSA BASHOURA MD INC
NPI 1609952431
Family Medicine in La Verne, CA

Active since October 27, 2006
1234 FOOTHILL BLVD, LA VERNE, CA 91750(909) 596-4879(909) 596-6612 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Habib Moussa Bashoura Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HABIB MOUSSA BASHOURA MD INC (NPI 1609952431) is a healthcare organization registered as a family medicine in La Verne, California and active in the NPI registry since October 2006. The organization lists Habib Bashoura, Physician, as its authorized official.

NPPES Registry Identity

NPI1609952431
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHABIB MOUSSA BASHOURA MD INC
Location Address1234 FOOTHILL BLVDLa Verne, CA 91750
Mailing Address1234 Foothill BlvdLa Verne, CA 91750 · (909) 596-4879 · Fax (909) 596-6612
Phone(909) 596-4879
Fax(909) 596-6612
Organization SubpartNo
Authorized OfficialHabib BashouraPhysician · (909) 596-4879
Enumeration DateOctober 27, 2006
Last NPPES UpdateDecember 15, 2016
✔ NPI 1609952431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1234 FOOTHILL BLVD, La Verne, CA 91750
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Other Identifiers 3

Medicare UPINF76494
Medicare ID-Type UnspecifiedA52519CA
Medicaid00A525191CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Habib Moussa Bashoura Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20090327000339Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Habib Moussa Bashoura MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Habib Bashoura, MD
Family Practice
NPI 1730170887
1234 FOOTHILL BLVD #2
La Verne, CA 91750
(909) 596-4879
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Habib Moussa Bashoura MD Inc's NPI number?

The NPI number for Habib Moussa Bashoura MD Inc is 1609952431. It was assigned to this organization in the NPPES registry on October 27, 2006.

Where is Habib Moussa Bashoura MD Inc located?

Habib Moussa Bashoura MD Inc is located at 1234 Foothill Blvd, La Verne, CA 91750. The listed phone number is (909) 596-4879.

What is Habib Moussa Bashoura MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Habib Moussa Bashoura MD Inc enrolled in Medicare?

Yes. Habib Moussa Bashoura MD Inc is registered in the Medicare PECOS enrollment system.

When is Habib Moussa Bashoura MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Habib Moussa Bashoura MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Habib Moussa Bashoura MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Habib Moussa Bashoura MD Inc was last updated on December 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.