Fuad Al-Dabbak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297729 Issued in CA

Practice address

11741 Gilmore St
Beaumont, CA 92223-6275

Phone

(909) 528-8288

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Power Center Physical Therapy IncorporatedGroup PAC ID 7214978865, 11 clinicians

Jordan River Physical Therapy IncGroup PAC ID 1153814181, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan River Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Yucaipa, CA
  • NPI 1003798182

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Power Center Physical Therapy Incorporated

  • Physical Therapist
  • Victorville, CA
  • NPI 1508948837
  Medicare reassignment Care Compare group NPD
• Jordan River Physical Therapy

  • Physical Therapist
  • Yucaipa, CA
  • NPI 1265210389
  Authorized official Same address or phone

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1366229585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 GILMORE ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 GILMORE ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236275",
            "telephone_number": "909-528-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DABBAK",
        "first_name": "FUAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carlos Alejandro Alfaro, M.A.
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• Evelyn Almaraz

• Physical Therapist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.