Individual provider Active NPI

Bakri Eskif Dabbagh, MD

  • Pediatrics Physician
  • Tulare, CA
National Provider Identifier
1710302195
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A142586 Issued in CA
Practice address
1186 Leland Ave
Tulare, CA 93274-7811
Phone
(559) 868-9097
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A142586 CA Primary

Addresses

Primary practice location

1186 Leland Ave
Tulare, CA 93274-7811

Mailing address

1201 N Cherry St
Tulare, CA 93274-2233
Phone (559) 631-4042

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001046 CA Practitioner - Pediatric Medicine 1951735752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142586CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Dec 1, 2019 Accepting new patients
Altura Centers for Health CurrentSince Dec 1, 2019 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

1186 Leland Ave
Tulare, CA 93274
Phone (559) 686-9097

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1500 W Tulare Dr
Tulare, CA 93274
Phone (559) 686-9097

1201 N Cherry St
Tulare, CA 93274
Phone (559) 685-4622

Interoperability endpoints

  • Direct secure messaging: bakri.dabbagh.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1710302195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-631-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-868-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKIF DABBAGH",
        "first_name": "BAKRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A142586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.