Abraham Golbari, M.D. a Medical Corportation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A55387 Issued in CA

Legal business name

ABRAHAM GOLBARI, M.D. A MEDICAL CORPORTATION

Practice address

14030 Crenshaw Blvd
Gardena, CA 90249-2715

Phone

(310) 327-8746

Fax

(310) 327-8748

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Abraham Golbari, M.D.NPI 1639216468

Title

Medical Doctor/Owner

Phone

(310) 327-8746

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abraham Golbari, M.D.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1639216468
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1396047775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492715",
            "telephone_number": "310-327-8746",
            "fax_number": "310-327-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492715",
            "telephone_number": "310-327-8746",
            "fax_number": "310-327-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM GOLBARI, M.D. A MEDICAL CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "GOLBARI",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "310-327-8746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A553870",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639216468",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abier Abdulwahab, DDS
• Shantie Abel
• Kayla Ables
• Melrita Ables, MFT
• Mahmoud Aborabeh, MD
• Abraham Medical Suppl Company
• Andrew Abram
• Leonard Abram
• Ky'Lee Alexandra Abrams
• Nora Nancy Abrego, NONE

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.