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MR. HABIB MOUSSA BASHOURA MD
NPI 1730170887
Family Medicine in La Verne, CA

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
1234 FOOTHILL BLVD, #2, LA VERNE, CA 91750(909) 596-4879(909) 596-9199 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Habib Moussa Bashoura Md NPPES

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

MR. HABIB MOUSSA BASHOURA MD (NPI 1730170887) is an individual family medicine provider in La Verne, California, licensed in California (A52519) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1730170887
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. HABIB MOUSSA BASHOURACredential: MD
Location Address1234 FOOTHILL BLVD, #2La Verne, CA 91750-3329
Mailing Address1234 Foothill Blvd, #2La Verne, CA 91750-3329 · (909) 596-4879 · Fax (909) 596-9199
Phone(909) 596-4879
Fax(909) 596-9199
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateOctober 28, 2005
Last NPPES UpdateDecember 15, 2016
✔ NPI 1730170887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A52519
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

Medicaid00A55191CA
Medicare UPINF76494
Medicare ID-Type UnspecifiedA52519CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Habib Moussa Bashoura Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012093768
PECOS Enrollment IDI20090327000333
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
155 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services21 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims36 services$5.53 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$42.26 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers25 claims25 services$20.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAY MEDICAL MANAGEMENT CORPORATION
Clinic/Center (Urgent Care)
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879
MR. SADIQ MANDILAWI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879
DR. ASIF SIDDIQ M.D.
Family Medicine
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879
HARRY E CONFER DPM A PROFESSIONAL CORPORATION
Durable Medical Equipment & Medical Supplies
1234 FOOTHILL BLVD
LAVERNE, CA 91750
Los Angeles County (909) 596-4879
REMEDY URGENT CARE
Clinic/Center (Urgent Care)
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879
MATTHEW JORDAN SANTA CRUZ PA
Physician Assistant
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 971-4808
HABIB MOUSSA BASHOURA MD INC
Family Medicine
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879
JOAN BOOTHBY
Nutritionist
1234 FOOTHILL BLVD
LA VERNE, CA 91750
Los Angeles County (909) 596-4879

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 Bashoura's NPI number?

The NPI number for Habib Bashoura is 1730170887. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Habib Bashoura located?

Habib Bashoura practices at 1234 Foothill Blvd #2, La Verne, CA 91750. The listed phone number is (909) 596-4879.

What is Habib Bashoura's specialty?

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

Is Habib Bashoura enrolled in Medicare?

Yes. Habib Bashoura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Habib Bashoura 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.