Organization Active NPI

Augusto a .Zablan,M.D.,Inc.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1245400720
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A34600 Issued in CA
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

Updated by the provider on Jun 19, 2012

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A346000MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.