Abdallah Victor Kubbeh, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A39353 Issued in CA

Practice address

388 Loch Lomond Rd
Rancho Mirage, CA 92270-5606

Phone

(404) 915-5692

Fax

(760) 203-0027

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Associates Corporation

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1003866120
  Medicare reassignment NPD
• John K Attokaren MD

  • Cardiovascular Disease Physician
  • Alpharetta, GA
  • NPI 1942416029
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1174507040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 LOCH LOMOND RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705606",
            "telephone_number": "404-915-5692",
            "fax_number": "760-203-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 LOCH LOMOND RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705606",
            "telephone_number": "404-915-5692",
            "fax_number": "760-203-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBBEH",
        "first_name": "ABDALLAH",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A39353",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "021731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice A Kraker, FNP
• Alexandria Esther Krakoff, BA
• Kreizenbeck Seim Professional Partnership
• Stephen L Kreizenbeck, DDS
• James Krolopp, MD
• Anuraag Ravi Kumar, DO, MBA
• Sonia Kurunathan, PT, DPT
• Katherine Magdalena Kwiecinska, OTR/L
• Jonathan Kwok, MD
• Laboratory Corporation of America

• Cardiovascular Disease Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.