NPIMap

Organization Active NPI

Abergel Institute

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1043424989
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A41084 Issued in CA
Legal business name
ABERGEL INSTITUTE
Practice address
2001 Santa Monica Blvd
Suite 1250 W
Santa Monica, CA 90404
Phone
(310) 829-2005
Fax
(310) 453-9201
NPI assigned
May 10, 2007
Last updated
Mar 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Robert Patrick Abergel, MDNPI 1841565843
Title
President
Phone
(310) 829-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A41084 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
Suite 1250 W
Santa Monica, CA 90404

Mailing address

2001 Santa Monica Blvd
Suite 1250 W
Santa Monica, CA 90404
Phone (310) 829-2005

National Provider Directory

National Provider Directory

Locations

2001 Santa Monica Blvd
Ste 1250W
Santa Monica, CA 90404
Phone (310) 829-2005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1043424989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1250 W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-2005",
            "fax_number": "310-453-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1250 W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-829-2005",
            "fax_number": "310-453-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERGEL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ABERGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-829-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A41084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.