Healthcare Provider Details

I. General information

NPI: 1811855752
Provider Name (Legal Business Name): NORTHCARE AXIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11394 NORTON AVE
POMONA CA
91766-4629
US

IV. Provider business mailing address

7252 ARCHIBALD AVE UNIT 607
RANCHO CUCAMONGA CA
91701-5017
US

V. Phone/Fax

Practice location:
  • Phone: 909-353-2064
  • Fax:
Mailing address:
  • Phone: 909-353-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: IBRAHEEM JABBAR
Title or Position: CEO
Credential:
Phone: 909-353-2064