Active NPI
Augusto Afable Zablan, M.D.
- Specialist
- Los Angeles, CA
National Provider Identifier
1336128925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A34600
- Practice address
- 2105 Beverly Blvd
213
Los Angeles, CA 90057-2216 - Phone
- (213) 413-1752
- Fax
- (213) 413-1860
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A34600 | CA | Primary |
Addresses
Primary practice location
2105 Beverly Blvd
213
Los Angeles, CA 90057-2216
Mailing address
2105 Beverly Blvd
Los Angeles, CA 90057-2216
Phone (213) 413-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A346000 | Medicaid | CA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34600 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1336128925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572216",
"telephone_number": "213-413-1752",
"fax_number": "213-413-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD",
"address_2": "213",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572216",
"telephone_number": "213-413-1752",
"fax_number": "213-413-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABLAN",
"first_name": "AUGUSTO",
"middle_name": "AFABLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A34600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A346000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.