Active NPI
Iffat Maqbool, M.D.
- Physical Medicine & Rehabilitation Physician
- Long Beach, CA
National Provider Identifier
1568794063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A102744
- Practice address
- 1050 Linden Ave
Long Beach, CA 90813-3321 - Phone
- (562) 491-9948
- NPI assigned
- Feb 8, 2010
- Last updated
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A102744 | CA | Primary |
Addresses
Primary practice location
1050 Linden Ave
Long Beach, CA 90813-3321
Mailing address
1042 1/2 Fairview Dr
La Canada, CA 91011-2308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100330001034 | CA | Practitioner - Physical Medicine and Rehabilitation | 3971639865 | Practice locations: Long Beach, CA; Los Angeles, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Valencia Hospice Care | Hospice | 5% Or Greater Direct Ownership Interest (15%) Corporate Director (15%) |
Jul 17, 2017 Sep 9, 2014 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Valencia, CA
- NPI 1467841403
5% Or Greater Direct Ownership Interest, Corporate Director
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1568794063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 1/2 FAIRVIEW DR",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133321",
"telephone_number": "562-491-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAQBOOL",
"first_name": "IFFAT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A102744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.