Individual provider Active NPI

Loghman Abdian, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1356554802
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A46128 Issued in CA
Practice address
1107 S Alvarado St Ste 102
Los Angeles, CA 90006-4161
Phone
(213) 380-9999
Fax
(213) 380-7904
NPI assigned
May 8, 2007
Last updated
Jan 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A46128 CA Primary

Addresses

Primary practice location

1107 S Alvarado St Ste 102
Los Angeles, CA 90006-4161

Mailing address

1107 S Alvarado St Ste 102
Los Angeles, CA 90006-4161
Phone (213) 380-9999

Other identifiers 1

IdentifierTypeStateIssuer
00A461280MedicaidCA

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
I20080514000580 CA Practitioner - Family Practice 6103995337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 S Alvarado St
Suite 102
Los Angeles, CA 90006-4161
Phone (213) 380-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46128CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L and P Medical Group Inc Family Medicine CurrentSince Jul 5, 1989 Accepting new patients

Locations

1107 S Alvarado St
Ste 102
Los Angeles, CA 90006
Phone (213) 380-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1356554802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S ALVARADO ST STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064161",
            "telephone_number": "213-380-9999",
            "fax_number": "213-380-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S ALVARADO ST STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064161",
            "telephone_number": "213-380-9999",
            "fax_number": "213-380-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIAN",
        "first_name": "LOGHMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A461280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.