Judith Abesamis

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Practice address

2215 Field St
Antioch, CA 94509-3919

Phone

(925) 325-5344

Fax

(925) 978-2761

NPI assigned

Jul 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lesmoni Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, CA
  • NPI 1033662218

  Intermediate Care Facility, Intellectual Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1336592567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 CEDAR RIDGE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318097",
            "telephone_number": "925-757-1379",
            "fax_number": "925-978-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FIELD ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945093919",
            "telephone_number": "925-325-5344",
            "fax_number": "925-978-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABESAMIS",
        "first_name": "JUDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Abarca
• Abbas Mahdavi MD (Delta Pediatrics Inc)
• Abbas Mahdavi MD Inc
• Triveni Abburi, M.D.
• Nayyirah Glori'Ya Abdulsalam
• Tonia M Abloogalook
• Sanaz Stacy Aboutalebi-Simon, O.D.
• Ceola Jean Abram
• Raymund Sayco Acacio, P.T.
• Krystal Denice Aceves Ochoa

• Intellectual Disabilities Intermediate Care Facility in Antioch, CA
• Providers in Antioch, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.