Active NPI
Therese Salama Abraham, P.A.-C
- Medical Physician Assistant
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA21045
- 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, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA21045 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Health Health for All Inc | Current | Accepting new patients | |
| All for Health Health for All Inc | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1568567220
-
- Federally Qualified Health Center (FQHC)
- Glendale, CA
- NPI 1518398031
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1023799285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.