Individual provider Active NPI

Karam Talal Gebraiel Jabri

  • Rheumatology Physician
  • San Bernardino, CA
National Provider Identifier
1740743194
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A179345 Issued in CA
Practice address
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone
(909) 883-8611
NPI assigned
Apr 11, 2019
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Rheumatology Physician 207RR0500X A179345 CA Primary

Addresses

Primary practice location

1700 N Waterman Ave
San Bernardino, CA 92404-5115

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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
I20240524003499 CA Practitioner - Rheumatology 2466789706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Cabrillo Center for Rheumatic Disease ApcGroup PAC ID 9739315037, 5 clinicians

Practice addresses (Care Compare)

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

5030 Camino de la Siesta
Suite 106
San Diego, CA 92108-3117
Phone (619) 334-4869

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179345CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cassidy Medical Group Inc. Current Accepting new patients
Beaver Medical Group P C CurrentSince Jul 1, 2024 Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Beaver Medical Group P C Rheumatology CurrentSince Jul 1, 2024 Accepting new patients
Cabrillo Center for Rheumatic Disease Apc Rheumatology CurrentSince Jun 1, 2025 Accepting new patients
Beaver Medical Group P C Past Accepting new patients

Locations

1420 Ocotillo Dr
Ste B
El Centro, CA 92243
Phone (760) 352-2551

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

5030 Camino de la Siesta
Ste 106
San Diego, CA 92108
Phone (619) 692-4401

6280 Jackson Dr
Ste 4
San Diego, CA 92119
Phone (619) 303-3704

6719 Alvarado Rd
Ste 203
San Diego, CA 92120
Phone (619) 583-1510

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kjabri24977@epiclp.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1740743194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045115",
            "telephone_number": "909-883-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRI",
        "first_name": "KARAM",
        "middle_name": "TALAL GEBRAIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A179345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.