Donald R. Abrahm M.D., Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G51196 Issued in CA

Legal business name

DONALD R. ABRAHM M.D., INC

Practice address

1525 Superior Ave
Suite 104
Newport Beach, CA 92663-3639

Phone

(949) 631-2670

Fax

(949) 631-7137

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donald Robert Abrahm, M.D.NPI 1215022405

Title

Physician

Phone

(949) 631-2670

Specialties & licenses 1

Addresses

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.

• Donald Robert Abrahm, M.D.

  • Gastroenterology Physician
  • Newport Beach, CA
  • NPI 1215022405

  CA, Gastroenterology

  Medicare reassignment Care Compare group NPD Authorized official
• Rooba Wardeh, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Orange, CA
  • NPI 1831388206

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1366617839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE",
            "address_2": "SUITE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633639",
            "telephone_number": "949-631-2670",
            "fax_number": "949-631-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE",
            "address_2": "SUITE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633639",
            "telephone_number": "949-631-2670",
            "fax_number": "949-631-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD R. ABRAHM M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "ABRAHM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-631-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G51196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Dolkas Lickl, PA
• Samuel Domingo, MSN, FNP
• Jessica Dominguez
• Steven Dominguez, MD
• Don F. Mills, M.D.
• Donald S. Mowlds, M.D., a Professional Corporation
• Dorene Kay Donayre, NP
• Elizabeth Ann Donovan, PA-C
• James Francis Donovan, PT, DPT
• Lesley Donovan, LMFT

• All providers in Newport Beach, CA
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.