Active NPI
Abbbas Damani
- Driver
- Long Beach, CA
National Provider Identifier
1053865857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D6614674
- Practice address
- 3750 E Fountain St
Suite 105
Long Beach, CA 90804-2958 - Phone
- (714) 588-8819
- NPI assigned
- Aug 9, 2016
- Last updated
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | D6614674 | CA | Primary |
Addresses
Primary practice location
3750 E Fountain St
Suite 105
Long Beach, CA 90804-2958
Mailing address
3750 E Fountain St
Suite 105
Long Beach, CA 90804-2958
Phone (714) 588-8819
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6614674 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1053865857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 E FOUNTAIN ST",
"address_2": "SUITE 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042958",
"telephone_number": "714-588-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 E FOUNTAIN ST",
"address_2": "SUITE 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042958",
"telephone_number": "714-588-8819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMANI",
"first_name": "ABBBAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "D6614674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
- Dalia Gutierrez Cristina Dalia Gutierrez
- Enrico Dalisay, PT
- Czarina Mae Dalog, RN
- Anthony T Dam, PHARMD
- Sonia Damanan, M.D
- Anthony Joseph Damiano, LCSW, CPRP
- Dan B Tran Medical Corporation (Coastal Vision Medical Group, Inc.)
- Dan Q Vu MD Inc
- Dana Cherry (Natural Awakenings Mental Health and Wellness center)
- Tamisha Danage
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.