Active NPI
Augusto a .Zablan,M.D.,Inc.
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1245400720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A34600
- Legal business name
- AUGUSTO A .ZABLAN,M.D.,INC.
- Practice address
- 2105 Beverly Blvd
Suite#213
Los Angeles, CA 90057-2216 - Phone
- (213) 413-1752
- Fax
- (213) 413-1860
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Augusto Afable Zablan, M.D.
- Title
- President
- Phone
- (213) 413-1752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A34600 | CA | Primary |
Addresses
Primary practice location
2105 Beverly Blvd
Suite#213
Los Angeles, CA 90057-2216
Mailing address
2105 Beverly Blvd
Suite#213
Los Angeles, CA 90057-2216
Phone (213) 413-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A346000 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2105 Beverly Blvd
Ste 213
Los Angeles, CA 90057
Phone (213) 413-1752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1245400720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD",
"address_2": "SUITE#213",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572216",
"telephone_number": "213-413-1752",
"fax_number": "213-413-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD",
"address_2": "SUITE#213",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572216",
"telephone_number": "213-413-1752",
"fax_number": "213-413-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUSTO A .ZABLAN,M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "ZABLAN",
"authorized_official_first_name": "AUGUSTO",
"authorized_official_middle_name": "AFABLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-413-1752",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A34600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A346000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.