Individual provider Active NPI

Abdoulaye Diop, M.D.

  • General Practice Physician
  • Inglewood, CA
National Provider Identifier
1336154160
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A33986 Issued in CA
Practice address
2704W Manchester Blvd
Inglewood, CA 90305-2436
Phone
(323) 778-4310
Fax
(323) 778-0838
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A33986 CA
General Practice Physician 208D00000X A33986 CA Primary

Addresses

Primary practice location

2704W Manchester Blvd
Inglewood, CA 90305-2436

Mailing address

2704 W Manchester Blvd
Inglewood, CA 90305-2436
Phone (323) 778-4310

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
I20050526000845 CA Practitioner - Pediatric MedicinePractitioner - General Practice 7315989753

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33986CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Diop Family Care Medical Group Inc. CurrentSince Jul 21, 1997 Accepting new patients
Dignity Community Care Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Advanced Family Care Medical Group Inc PastSince Oct 24, 1995 Accepting new patients

Locations

2710 W Manchester Blvd
Inglewood, CA 90305
Phone (323) 778-4310

2704 W Manchester Blvd
Inglewood, CA 90305
Phone (323) 778-1380

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1336154160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-778-4310",
            "fax_number": "323-778-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-778-4310",
            "fax_number": "323-778-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIOP",
        "first_name": "ABDOULAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33986",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.