Active NPI
Gizel Awadallah Abraham, M.D.
- Pediatrics Physician
- Glendale, CA
National Provider Identifier
1033144704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A53854
- Practice address
- 1510 S Central Ave Ste 510
Glendale, CA 91204-2543 - Phone
- (818) 502-2181
- Fax
- (818) 502-2191
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A53854 | CA | Primary |
Addresses
Primary practice location
1510 S Central Ave Ste 510
Glendale, CA 91204-2543
Mailing address
1510 S Central Ave Ste 510
Glendale, CA 91204-2543
Phone (818) 502-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A53854 | Medicaid | CA |
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 |
|---|---|---|---|
| A53854 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- abrahamgizel.246.5964@securemailmdscloud.mdsynergy.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033144704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE STE 510",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042543",
"telephone_number": "818-502-2181",
"fax_number": "818-502-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 S CENTRAL AVE STE 510",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042543",
"telephone_number": "818-502-2181",
"fax_number": "818-502-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "GIZEL",
"middle_name": "AWADALLAH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A53854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A53854",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.