LYDIA TAREK GHABOUR PA
NPI 1780329938
Physician Assistant - Medical in Loma Linda, CA

Active since May 02, 2022PECOS EnrolledAccepts Medicare Assignment
25455 BARTON RD STE 204B, LOMA LINDA, CA 92354(909) 558-6600 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Tarek Ghabour Pa NPPES

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

LYDIA TAREK GHABOUR PA (NPI 1780329938) is an individual medical provider in Loma Linda, California, licensed in California (PA62139) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780329938
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLYDIA TAREK GHABOURCredential: PA
Location Address25455 BARTON RD STE 204BLoma Linda, CA 92354-3130
Mailing AddressFile # 54701Los Angeles, CA 90074-4701 · (909) 558-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 2, 2022
Last NPPES UpdateMarch 23, 2024
NPPES CertifiedMarch 23, 2024
NPI 1780329938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA62139
25455 BARTON RD STE 204B, Loma Linda, CA 92354

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

Lydia Tarek Ghabour Pa 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 ID9830560150
PECOS Enrollment IDI20230125001059
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 5

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.

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.
213 services157 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.
41 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 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.
14 services14 patients

Other Providers at the Same Location NPPES 20

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

Family Medicine (Geriatric Medicine)
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Physician Assistant
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Family Medicine
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Nurse Practitioner
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Family Medicine (Hospice and Palliative Medicine)
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Family Medicine
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Family Medicine
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354
Physician Assistant
25455 BARTON RD STE 204B
LOMA LINDA, CA 92354

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 Lydia Ghabour's NPI number?

The NPI number for Lydia Ghabour is 1780329938. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Lydia Ghabour located?

Lydia Ghabour practices at 25455 Barton Rd Ste 204B, Loma Linda, CA 92354. The listed phone number is (909) 558-6600.

What is Lydia Ghabour's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lydia Ghabour enrolled in Medicare?

Yes. Lydia Ghabour 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 Lydia Ghabour was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.