Sarab N. Al-Nakeeb, MD

Individual provider Active NPI Pediatrics Physician · Fontana, CA

NPI 1366501926 · NPPES record last updated Sep 23, 2008

Key facts

NPI
1366501926
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
C42619 (CA)
Practice address
9961 Sierra Ave
Fontana, CA 92335-6720
Phone
(909) 427-3910
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42619CAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C42619 CA Yes

Addresses

Primary practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-3910

Other providers in Fontana, CA

All providers in Fontana, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.