Abjelina Mental Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A64789 Issued in CA

Legal business name

ABJELINA MENTAL HEALTH INC

Practice address

23700 Camino del Sol
Torrance, CA 90505-5017

Phone

(310) 530-1151

NPI assigned

Dec 11, 2006

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth T Abjelina, MDNPI 1649267071

Title

Owner Provider

Phone

(424) 400-7748

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth T Abjelina, MD

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1649267071
  Medicare reassignment NPD Authorized official
• Manolito B Fidel, MD

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1326098534
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1285794081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2490",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902748490",
            "telephone_number": "424-400-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 CAMINO DEL SOL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055017",
            "telephone_number": "310-530-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABJELINA MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "ABJELINA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "424-400-7748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A64789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A647890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A647890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mivi Z Abenojar
• Abrhet Abera
• Dylan Wayne Abernathy, M.M., MT-BC
• Anshu Ria Abhat
• Abjelina Dental Health, Inc.
• Angelli Abracosa Abjelina, D.D.S.
• Kenneth T Abjelina, MD
• Alma Abonce Vargas
• Hoda Abou-Ziab, PSYD
• Reham Aboughali

• Psychiatry Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.