Individual provider Active NPI

Dana Jeries Alrabadi

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1952852741
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003773 Issued in CA
Practice address
1520 N Mountain Ave
BLDG F Suite 128
Ontario, CA 91762-1128
Phone
(909) 949-9299
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003773 CA Primary

Addresses

Primary practice location

1520 N Mountain Ave
BLDG F Suite 128
Ontario, CA 91762-1128

Mailing address

1520 N Mountain Ave
BLDG F Suite 128
Ontario, CA 91762-1128
Phone (909) 949-9299

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230307000634 CA Practitioner - Nurse Practitioner 7810360138 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003773CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Aug 3, 2025 Accepting new patients
Central City Community Health Center Inc CurrentSince Nov 18, 2022 Accepting new patients
Central City Community Health Center Inc Current Accepting new patients
Tri-State Community Healthcare Center CurrentSince Aug 3, 2025 Accepting new patients
Luther Mangoba, MD Inc. CurrentSince Jan 18, 2025 Accepting new patients
Tri-State Community Healthcare Center Current Accepting new patients
Central City Community Health Center Inc CurrentSince Nov 18, 2022 Accepting new patients

Locations

11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944

10050 Garvey Ave
Ste 111
El Monte, CA 91733
Phone (626) 652-0790

540 N San Jacinto St
Ste P
Hemet, CA 92543
Phone (951) 929-4000

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222

9041 Magnolia Ave
Ste 8
Riverside, CA 92503
Phone (951) 686-0004

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1952852741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE",
            "address_2": "BLDG F SUITE 128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-949-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE",
            "address_2": "BLDG F SUITE 128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-949-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRABADI",
        "first_name": "DANA",
        "middle_name": "JERIES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.