Individual provider Active NPI

Elnaz Shahabi-Abney, DO

  • Family Medicine Physician
  • Ladera Ranch, CA
National Provider Identifier
1144660879
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11313 Issued in CA
Practice address
8 Falkner Dr
Ladera Ranch, CA 92694-0925
Phone
(949) 636-4290
Fax
(949) 216-6006
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A11313 CA
Family Medicine Physician 207Q00000X 20A11313 CA Primary

Addresses

Primary practice location

8 Falkner Dr
Ladera Ranch, CA 92694-0925

Mailing address

8 Falkner Dr
Ladera Ranch, CA 92694-0925
Phone (949) 636-4290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11313CAMDNeuromusculoskeletal Medicine & OMM Physician
11313CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Mar 20, 2016 Accepting new patients
Prohealth Partners a Medical Group Inc Family Medicine Past Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1144660879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FALKNER DR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940925",
            "telephone_number": "949-636-4290",
            "fax_number": "949-216-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FALKNER DR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940925",
            "telephone_number": "949-636-4290",
            "fax_number": "949-216-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHABI-ABNEY",
        "first_name": "ELNAZ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A11313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.