Individual provider Active NPI

Emad Ghobrial, DC

  • Chiropractor
  • Ontario, CA
National Provider Identifier
1346847647
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34936 Issued in CA
Practice address
3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997
Phone
(909) 252-0508
NPI assigned
Oct 8, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34936 CA Primary

Addresses

Primary practice location

3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997

Mailing address

3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997
Phone (909) 252-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34936CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Occupational Medicine Providers Ontario Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1346847647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 INLAND EMPIRE BLVD STE B120",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644997",
            "telephone_number": "909-252-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 INLAND EMPIRE BLVD STE B120",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644997",
            "telephone_number": "909-252-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "EMAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.