Individual provider Active NPI

Alex Jabourian, D.O.

  • Emergency Medicine Physician
  • Colton, CA
National Provider Identifier
1740691195
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S9152 Issued in TX
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(909) 580-1862
NPI assigned
May 19, 2014
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S9152 TX Primary
Emergency Medicine Physician 207P00000X 20A14278 CA

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170208000995 CA Practitioner - Emergency Medicine 5496038937 Reassigns benefits to 2 organizations
I20210907001506 TX Practitioner - Emergency Medicine 5496038937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14278CAMDOptometrist
20A14278CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Pih Health Physicians CurrentSince Jan 3, 2017 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Jan 3, 2017 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Mochi Medical KS PC Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Embody Health PLLC PastSince May 4, 2025 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

3500 Gaston Ave
Dallas, TX 75246

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2801 S Mayhill Rd
Denton, TX 76208
Phone (855) 760-0600

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

13172 Highway 287
Haslet, TX 76052
Phone (682) 703-4410

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Interoperability endpoints

  • Direct secure messaging: ajabourian1261117@direct.sw.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1740691195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOURIAN",
        "first_name": "ALEX",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S9152",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A14278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.