Elmer Fortin Abreu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013627 Issued in CA

Practice address

14335 Ibex Ave
Norwalk, CA 90650-4961

Phone

(714) 495-9459

NPI assigned

Jan 10, 2020

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Saving Our Skin Wound Care PCGroup PAC ID 9638671670, 2 clinicians

Goldencrest Primary CareGroup PAC ID 2860984978, 5 clinicians

Allied of California Medical GroupGroup PAC ID 1951807726, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Allied of California Medical Group

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1053296301
  Medicare reassignment Care Compare group NPD
• Saving Our Skin Wound Care PC

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1235015827
  Medicare reassignment Care Compare group NPD
• Goldencrest Primary Care

  • Nurse Practitioner
  • San Bernardino, CA
  • NPI 1437025004
  Medicare reassignment Care Compare group
• Anthem Medical Specialists Inc

  • Nursing Care Agency
  • Orange, CA
  • NPI 1740003714
  Medicare reassignment NPD
• Carequest Solutions Nursing PC

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1497560858
  Medicare reassignment NPD
• Community Care Mobile Doctors

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1750029690
  Medicare reassignment NPD
• Concierge Healthcare Services

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1649142282
  Medicare reassignment NPD
• FM Woundcare Inc

  • General Practice Physician
  • Lomita, CA
  • NPI 1982409579
  Medicare reassignment NPD
• Opus Medical

  • Geriatric Medicine (Internal Medicine) Physician
  • Corona, CA
  • NPI 1134914179

  Family

  Medicare reassignment NPD
• Thrive Healthcare Solutions Nursing PC

  • Nurse Practitioner
  • Anaheim, CA
  • NPI 1851192371
  Medicare reassignment NPD
• Vital Medical Corporation

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1659172138
  Medicare reassignment NPD
• Wound Rescue Specialist

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1295583250
  Medicare reassignment NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1114567898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 IBEX AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 IBEX AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504961",
            "telephone_number": "714-495-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "ELMER",
        "middle_name": "FORTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Abad, D.D.S.
• Ahmad Abdul-Khabir
• Abi Family Dental Inc
• Debra Abramowitz, CPRP
• Bruce Abrams, MD
• Alma Aburto
• Camille Runa Ace, PSY.D.
• Brenda Acevedo
• Viviana Acevedo, ASW
• Sandra Acosta

• Family Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.

Verify at the official NPI Registry.