Individual provider Active NPI

Tariq Iyad Hilal, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Alamitos, CA
National Provider Identifier
1992149843
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A15622 Issued in CA
Practice address
3771 Katella Ave Ste 107
Los Alamitos, CA 90720-3111
Phone
(562) 534-2606
Fax
(562) 534-2604
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 20A15622 CA
Physical Medicine & Rehabilitation Physician 208100000X 20A15622 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A15622 CA Primary

Addresses

Primary practice location

3771 Katella Ave Ste 107
Los Alamitos, CA 90720-3111

Mailing address

PO Box 11769
Westminster, CA 92685-1769
Phone (562) 534-2606

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
I20171109003151 CA Practitioner - Physical Medicine and Rehabilitation 9133416977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Western University of Health Sciences College of Dental Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3771 Katella Ave
Suite 201
Los Alamitos, CA 90720-3116
Phone (562) 534-2606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
70.86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15622CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician
15622CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Sports and Spine Inc Pain Medicine CurrentSince Aug 2, 2021 Accepting new patients

Locations

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

1730 Grand Ave
Long Beach, CA 90804
Phone (562) 595-8817

1730 Grand Ave
#2011
Long Beach, CA 90804

2725 Pacific Ave
Long Beach, CA 90806
Phone (562) 427-7493

4010 N Virginia Rd
Long Beach, CA 90807
Phone (562) 426-0394

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

7039 Alondra Blvd
Paramount, CA 90723
Phone (562) 531-0990

1880 Dawson Ave
Signal Hill, CA 90755
Phone (562) 494-5188

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1992149843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11769",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851769",
            "telephone_number": "562-534-2606",
            "fax_number": "562-534-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 KATELLA AVE STE 107",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203111",
            "telephone_number": "562-534-2606",
            "fax_number": "562-534-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAL",
        "first_name": "TARIQ",
        "middle_name": "IYAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "20A15622",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A15622",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A15622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.