Michael M Abaian
Individual provider Active NPI Dentist · Sherman Oaks, CA
NPI 1023263167 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1023263167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 53049 (CA)
- Practice address
- 4312 Woodman Ave
Sherman Oaks, CA 91423-5546 - Phone
- (818) 788-8787
- NPI assigned
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140613001599 | CA | Practitioner - Oral Surgery | 7113141136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Abaian DDS Inc | Dentist | Current |
Accepting new patients |
| Michael Abaian DDS Inc | Past | Accepting new patients |
Locations
6905 Atlantic Ave
Bell, CA 90201
Phone (323) 773-5029
4327 Gage Ave
Bell, CA 90201
Phone (232) 771-7477
Interoperability endpoints
- https://api.platform.athenahealth.com/18131/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25159/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53049 | CA | Yes |
Addresses
Primary practice location
4312 Woodman Ave
Sherman Oaks, CA 91423-5546
Mailing address
4312 Woodman Ave
Sherman Oaks, CA 91423-5546
Phone (818) 788-8787
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.