Assibi Z Abudu, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G32689 Issued in CA

Practice address

1701 Santa Anita Ave
South El Monte, CA 91733-3482

Phone

(626) 350-7957

Fax

(626) 448-0485

NPI assigned

Jun 10, 2006

Last updated

Jun 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

University of Southern California Keck School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health PartnersGroup PAC ID 1759564396, 20 clinicians

Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Premier Health Partners

  • Emergency Medicine Physician
  • Blythe, CA
  • NPI 1609170232
  Medicare reassignment Care Compare group NPD
• Can Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Panorama City, CA
  • NPI 1265810006
  Medicare reassignment Care Compare group
• Doctors Managed Emergency Medical Group Inc.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1922241843

  Emergency Medicine

  NPD (past)
• Downey Radiology Associates

  • Diagnostic Radiology Physician
  • Downey, CA
  • NPI 1528012945
  NPD (past)
• Foothill Emergency Physicians

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1396875712
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pacifica of the Valley Corporation

  dba Pacifica Hosptial of the Valley

  • General Acute Care Hospital
  • Sun Valley, CA
  • NPI 1548328750
  Care Compare affiliation
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1376585042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662046",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910662046",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SANTA ANITA AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333482",
            "telephone_number": "626-350-7957",
            "fax_number": "626-448-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUDU",
        "first_name": "ASSIBI",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G32689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G326890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Acosta
• Ahmc Greater El Monte Comm Hosp LLC (Greater El Monte Comm Hosp)
• Ahmc Greater El Monte Community
• Ahmc Greater El Monte Community Hospital LP (Ahmc Greater El Monte Community Hospital)
• Arturo Alcala

• Emergency Medicine Physician in South El Monte, CA
• Providers in South El Monte, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.