Individual provider Active NPI

Therese Salama Abraham, P.A.-C

  • Medical Physician Assistant
  • Glendale, CA
National Provider Identifier
1063726586
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21045 Issued in CA
Practice address
800 S Central Ave Ste 308
Glendale, CA 91204-4644
Phone
(818) 549-8800
Fax
(818) 549-8811
NPI assigned
Jul 27, 2010
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA21045 CA Primary

Addresses

Primary practice location

800 S Central Ave Ste 308
Glendale, CA 91204-4644

Mailing address

519 E Broadway
Glendale, CA 91205-1110
Phone (818) 409-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000111 CA Practitioner - Physician Assistant 6901921725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 S Glenoaks Blvd
Suite 101
Burbank, CA 91502-2707
Phone (818) 748-1740

437 S Pacific Ave
Glendale, CA 91204-1441
Phone (818) 241-1500

5160 Vineland Ave
Suite 109
North Hollywood, CA 91601-3888
Phone (818) 738-7774

710 S Central Ave
Suite 350
Glendale, CA 91204-4647
Phone (818) 616-7557

800 S Central Ave
Suite 308
Glendale, CA 91204-4644
Phone (818) 549-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21045CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Jan 27, 2012 Accepting new patients
All for Health Health for All Inc CurrentSince Jan 27, 2012 Accepting new patients

Locations

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

800 S Central Ave
Ste 308
Glendale, CA 91204
Phone (818) 332-2233

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: therese.abraham.p1@direct.afh.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1063726586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051110",
            "telephone_number": "818-409-3020",
            "fax_number": "818-243-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 308",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044644",
            "telephone_number": "818-549-8800",
            "fax_number": "818-549-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "THERESE",
        "middle_name": "SALAMA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.