Organization Active NPI

Tariq Hilal, DO Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Alamitos, CA
National Provider Identifier
1023523099
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
12335 Issued in MN
Legal business name
TARIQ HILAL, DO INC.
Practice address
3771 Katella Ave Ste 107
Los Alamitos, CA 90720-3111
Phone
(714) 534-2606
Fax
(562) 534-2604
NPI assigned
Dec 12, 2017
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Tariq Iyad Hilal, DONPI 1992149843
Title
Medical Director
Phone
(562) 534-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 12335 MN Primary

Addresses

Primary practice location

3771 Katella Ave Ste 107
Los Alamitos, CA 90720-3111

Mailing address

PO Box 11769
Westminster, CA 92685-1769
Phone (714) 553-2606

Other identifiers 1

IdentifierTypeStateIssuer
20A15622OtherCAMEDICAL LICENSE

Other names 1

  • South Coast Spine, Sports, and Rehabilitation Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818002498 CA Part B Supplier - Clinic/Group Practice 7719241389 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Locations

3771 Katella Ave
#107
Los Alamitos, CA 90720

3771 Katella Ave
Ste 107
Los Alamitos, CA 90720
Phone (562) 534-2606

330 E 7th St
#2
Upland, CA 91786
Phone (909) 931-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1023523099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11769",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851769",
            "telephone_number": "714-553-2606",
            "fax_number": "562-534-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE STE 107",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203111",
            "telephone_number": "714-534-2606",
            "fax_number": "562-534-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIQ HILAL, DO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "HILAL",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "IYAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-534-2606",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MN",
            "license": "12335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A15622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Spine, Sports, and Rehabilitation Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.