Active NPI
Dr Nabil Abudayeh
- Point of Service
- Castro Valley, CA
National Provider Identifier
1245770155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- G059072
- Legal business name
- DR NABIL ABUDAYEH
- Practice address
- 20700 Lake Chabot Rd
Ste 107
Castro Valley, CA 94546-5401 - Phone
- (510) 728-7961
- Fax
- (510) 886-0268
- NPI assigned
- Feb 27, 2017
- 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
- Mrs. Dorothy Marion
- Title
- Office Manager
- Phone
- (650) 771-2814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | G059072 | CA | Primary |
Addresses
Primary practice location
20700 Lake Chabot Rd
Ste 107
Castro Valley, CA 94546-5401
Mailing address
20700 Lake Chabot Rd
Ste 107
Castro Valley, CA 94546-5401
Phone (510) 728-7961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G590720 | Other | CA | ALAMEDA ALLIANCE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Castro Valley, CA
- NPI 1699724484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1245770155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20700 LAKE CHABOT RD",
"address_2": "STE 107",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465401",
"telephone_number": "510-728-7961",
"fax_number": "510-886-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 LAKE CHABOT RD",
"address_2": "STE 107",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465401",
"telephone_number": "510-728-7961",
"fax_number": "510-886-0268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR NABIL ABUDAYEH",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "MARION",
"authorized_official_first_name": "DOROTHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "650-771-2814",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "G059072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALAMEDA ALLIANCE",
"identifier": "00G590720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.