Individual provider Active NPI

Leah L Suarez-Abraham, MD

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1003095258
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109014 Issued in IL
Practice address
204 E Beach St
Watsonville, CA 95076-4809
Phone
(831) 728-0222
Fax
(831) 707-2777
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036109014 IL Primary

Addresses

Primary practice location

204 E Beach St
Watsonville, CA 95076-4809

Mailing address

14 Lake St
Oak Park, IL 60302-2606
Phone (708) 383-0113

Other practice location 1

45 Nielson St
Watsonville, CA 95076-2468
Phone (831) 728-0222

Other names 1

  • Dr. Leah L Abraham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040709000738 IL Practitioner - Family Practice 2961480694 Reassigns benefits to 1 organization
I20191209002307 CA Practitioner - Family PracticePractitioner - Other (Physician) 2961480694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Para la GenteGroup PAC ID 8729984729, 41 clinicians

Practice addresses (Care Compare)

204 E Beach St
Watsonville, CA 95076-4809
Phone (831) 728-8250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109014ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Para la Gente CurrentSince Sep 1, 2019 Accepting new patients
PCC Community Wellness Center CurrentSince Jun 1, 2010 Accepting new patients
Salud Para la Gente CurrentSince Sep 1, 2019 Accepting new patients
County of Monterey CurrentSince Nov 1, 2020 Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. CurrentSince May 3, 2020 Accepting new patients
County of Monterey Behavioral Health CurrentSince Nov 1, 2020 Accepting new patients
PCC Community Wellness Center CurrentSince Jun 1, 2010 Accepting new patients
Salud Para la Gente Current Accepting new patients
West Suburban Medical Center Family Medicine Past Accepting new patients
Salud Para la Gente Past Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients

Locations

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

195 Aviation Way
Ste 200
Watsonville, CA 95076

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

204 E Beach St
Ste 102
Watsonville, CA 95076

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: lsuareza@yourcarecommunity.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1003095258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LAKE ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022606",
            "telephone_number": "708-383-0113",
            "fax_number": "708-383-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E BEACH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764809",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Nielson St",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762468",
            "country_code": "US",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ-ABRAHAM",
        "first_name": "LEAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "ABRAHAM",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.