Individual provider Active NPI

Muqeet Dadabhoy, HEALTH PROVIDER

  • Assisted Living Facility
  • Torrance, CA
National Provider Identifier
1356871966
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
198204012 Issued in CA
Practice address
17035 Atkinson Ave
Torrance, CA 90504
Phone
(310) 251-2382
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 198204012 CA Primary

Addresses

Primary practice location

17035 Atkinson Ave
Torrance, CA 90504

Mailing address

17035 Atkinson Ave
Torrance, CA 90504-2712
Phone (310) 251-2382

Other practice location 1

28024 Calzada Dr
Rancho Palos Verdes, CA 90275-1227
Phone (310) 251-2382

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
198204012CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Xyris Enterprise Inc Assisted Living Facility PastSince Jul 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356871966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17035 ATKINSON AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042712",
            "telephone_number": "310-251-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17035 ATKINSON AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90504",
            "telephone_number": "310-251-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28024 Calzada Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902751227",
            "country_code": "US",
            "telephone_number": "310-251-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADABHOY",
        "first_name": "MUQEET",
        "name_prefix": "Mr.",
        "credential": "HEALTH PROVIDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198204012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.