Active NPI
Dana Jeries Alrabadi
- Family Nurse Practitioner
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003773
- 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, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003773 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Luther Mangoba, MD Inc. | Current | Accepting new patients | |
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
-
- Family Medicine Physician
- Riverside, CA
- NPI 1558387209
-
- Federally Qualified Health Center (FQHC)
- Needles, CA
- NPI 1922356369
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Federally Qualified Health Center (FQHC)
- El Monte, CA
- NPI 1972912236
-
- Federally Qualified Health Center (FQHC)
- Adelanto, CA
- NPI 1508379017
-
- Federally Qualified Health Center (FQHC)
- Laughlin, NV
- NPI 1174125892
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.