Individual provider Active NPI

Jennifer Jane Abraham, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1285650259
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G63721 Issued in CA
Practice address
3838 San Dimas St Ste A100
Bakersfield, CA 93301-2286
Phone
(661) 324-4963
Fax
(661) 327-5432
NPI assigned
Jul 14, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G63721 CA Primary

Addresses

Primary practice location

3838 San Dimas St Ste A100
Bakersfield, CA 93301-2286

Mailing address

PO Box 2507
Bakersfield, CA 93303-2507
Phone (661) 335-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000012 CA Practitioner - Internal Medicine 9739152489 Practice locations: Bakersfield, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63721CAMDPharmacist
G63721CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Faculty Medical Group Internal Medicine Past Accepting new patients
Gem Physicians Medical Group Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1285650259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2507",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032507",
            "telephone_number": "661-335-7755",
            "fax_number": "661-335-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE A100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012286",
            "telephone_number": "661-324-4963",
            "fax_number": "661-327-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.