Individual provider Active NPI

Faris Alshammari

  • Physical Therapist
  • Loma Linda, CA
National Provider Identifier
1508287905
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39722 Issued in CA
Practice address
25065 Mound St
Loma Linda, CA 92354-2770
Phone
(909) 233-3220
NPI assigned
Jan 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 39722 CA Primary

Addresses

Primary practice location

25065 Mound St
Loma Linda, CA 92354-2770

Mailing address

25065 Mound St
Loma Linda, CA 92354-2770
Phone (909) 233-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828001394 CA Practitioner - Physical Therapist in Private Practice 7315165628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan River Physical Therapy IncGroup PAC ID 1153814181, 2 clinicians
Power Center Physical Therapy IncorporatedGroup PAC ID 7214978865, 11 clinicians

Practice addresses (Care Compare)

34247 Yucaipa Blvd
Suite E
Yucaipa, CA 92399-6118
Phone (909) 657-2232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39722CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan River Physical Therapy Inc Physical Therapist CurrentSince Oct 30, 2025 Accepting new patients

Locations

34247 Yucaipa Blvd
Ste E
Yucaipa, CA 92399
Phone (909) 233-3220

Organizations & group practices 2

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1508287905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25065 MOUND ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542770",
            "telephone_number": "909-233-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25065 MOUND ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542770",
            "telephone_number": "909-233-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHAMMARI",
        "first_name": "FARIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.