Individual provider Active NPI

Abdol Hamid Abdali Hajiabadi, P.A.

  • Medical Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1285747964
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
14479 Issued in CA
Practice address
1617 E 1St St
Suite a
Santa Ana, CA 92701-6385
Phone
(714) 246-0000
Fax
(888) 371-8355
NPI assigned
Aug 16, 2006
Last updated
May 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 14479 CA Primary

Addresses

Primary practice location

1617 E 1St St
Suite a
Santa Ana, CA 92701-6385

Mailing address

1617 E 1St St
Suite a
Santa Ana, CA 92701-6385
Phone (714) 246-0000

Other names 1

  • Hamid Abdali Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1285747964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-246-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-246-0000",
            "fax_number": "888-371-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALI HAJIABADI",
        "first_name": "ABDOL HAMID",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "14479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMID",
            "last_name": "ABDALI",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.