Active NPI
Therese K. Abboud, M.D.
- Anesthesiology Physician
- Coronado, CA
National Provider Identifier
1003112913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- AFE25015
- Practice address
- 1820 Avenida del Mundo
#1103
Coronado, CA 92118 - Phone
- (619) 435-6556
- Fax
- (619) 435-6581
- NPI assigned
- Feb 10, 2011
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | AFE25015 | CA | Primary |
Addresses
Primary practice location
1820 Avenida del Mundo
#1103
Coronado, CA 92118
Mailing address
1820 Avenida del Mundo
#1103
Coronado, CA 92118
Phone (619) 435-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AFE25015 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1003112913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 AVENIDA DEL MUNDO",
"address_2": "#1103",
"city": "CORONADO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-435-6556",
"fax_number": "619-435-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 AVENIDA DEL MUNDO",
"address_2": "#1103",
"city": "CORONADO",
"state": "CA",
"postal_code": "92118",
"telephone_number": "619-435-6556",
"fax_number": "619-435-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOUD",
"first_name": "THERESE",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-10",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "AFE25015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.