Ebraheem H Hamed

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

361880884 Issued in CA

Practice address

13849 Cobblestone CT
Fontana, CA 92335-0504

Phone

(786) 564-3771

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

Yes

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

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.

• Abs Humble Home LLC

  • Assisted Living Facility
  • Fontana, CA
  • NPI 1770188013
  NPD Authorized official
• Al Hayba Home LLC

  • Assisted Living Facility
  • Fontana, CA
  • NPI 1649909292
  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1699302240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625821",
            "telephone_number": "786-564-3771",
            "fax_number": "909-474-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13849 COBBLESTONE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350504",
            "telephone_number": "786-564-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14798 Cambria St",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923352520",
            "country_code": "US",
            "telephone_number": "786-564-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMED",
        "first_name": "EBRAHEEM",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "361880884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selam W Hagos, RN
• Batool Hajianpour, MD
• Mark Mounir Halim
• Lesley Hall
• Sharon Annette Hall, PT
• Nuzhat J. Hameed, MD
• Jeneane Hamideh
• Clarence A. Hamilton, MD
• Nacomi Hamilton
• Holly Hammack, LCSW

• All providers in Fontana, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.