Wessam Farhan Rabbady, PSYCH ASSOCIATE

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PSB94028281 Issued in CA

Practice address

1845 Business Center Dr Ste 112
San Bernardino, CA 92408-3447

Phone

(909) 292-8997

NPI assigned

Mar 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Autism Spectrum Consultants

  • Developmentally Disabled Services Day Training Agency
  • Irvine, CA
  • NPI 1306167994
  NPD (past)

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1619503646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083447",
            "telephone_number": "909-292-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083447",
            "telephone_number": "909-292-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBADY",
        "first_name": "WESSAM",
        "middle_name": "FARHAN",
        "name_prefix": "Mr.",
        "credential": "PSYCH ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-20-114797",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PSB94028281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Quiroz
• Maria Monique Quiroz
• Ruben Ray Quiroz
• R Roland Lopez, M.D., Inc.
• Elma Catherine Lachica Rabaya
• Renato G Rada, MD
• Radiance Pharmacy Inc
• Radiance Pharmacy Inc
• Cinderella Chavez Radu, MD
• Samantha Raeyes

• Student in an Organized Health Care Education/Training Program in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.