Active NPI
Ibrahim A Rabadi
- Dentist
- Pasadena, CA
National Provider Identifier
1306904891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 26278
- Practice address
- 2281 E Washington Blvd
Pasadena, CA 91104 - Phone
- (626) 794-2606
- Fax
- (626) 794-2879
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 26278 | CA | Primary |
Addresses
Primary practice location
2281 E Washington Blvd
Pasadena, CA 91104
Mailing address
2281 E Washington Blvd
Pasadena, CA 91104
Phone (626) 794-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9218201 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160407000503 | CA | Order and Referring Only - Oral Surgery | 4688972680 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ibrahim Rabidi | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Pasadena, CA
- NPI 1093908378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306904891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2281 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "91104",
"telephone_number": "626-794-2606",
"fax_number": "626-794-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2281 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "91104",
"telephone_number": "626-794-2606",
"fax_number": "626-794-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABADI",
"first_name": "IBRAHIM",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "26278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9218201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
- R & R Clinical & Medical Corp
- R Robert Wycoff MD Inc
- R. Clark Davis, M.D., Inc.
- R. Starr Dental, Inc.
- R&R Clinical
- Anayda Abigail Rabanales Reyes
- Nicole M Rabaudi, AMFT
- Charles Rabotinsky Jr.
- Rachel Chen Licensed Professional Clinical Counseling
- Rachelle R. Bodle, LMFT, Therapist Effect Marriage & Family Counseling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.