Organization Active NPI

Dr Nabil Abudayeh

  • Point of Service
  • Castro Valley, CA
National Provider Identifier
1245770155
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
G059072 Issued in CA
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

Updated by the provider on Feb 27, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G590720OtherCAALAMEDA ALLIANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.