Individual provider Active NPI

Abie Avraham Hershel Mendelsohn, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1396934824
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A103554 Issued in CA
Practice address
200 UCLA Medical PLZ Ste 550
Los Angeles, CA 90095-1624
Phone
(310) 570-0235
Fax
(310) 570-0240
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A103554 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste 550
Los Angeles, CA 90095-1624

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1223 16th St Ste 3100
Santa Monica, CA 90404-1275
Phone (424) 259-6559

Other names 1

  • Abie Mendelsohn Other name

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
I20120504000470 CA Practitioner - Otolaryngology 7315109527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geoffrey Trenkle DO a Professional Medical CorporationGroup PAC ID 1759607310, 17 clinicians

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 2500
Los Angeles, CA 90033-2434
Phone (323) 268-6731

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103554CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Trenkle DO a Professional Medical Corporation Otolaryngology CurrentSince May 30, 2023 Accepting new patients
Dignity Community Care Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Citrus Valley Medical Associates, Inc. PastSince Aug 2, 2021 Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Employee Medical Consultants PC Past Accepting new patients
Michael R. Gatto MD, Inc. Otolaryngology PastSince Aug 1, 2007 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

488 E Santa Clara St
Ste 202
Arcadia, CA 91006

1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 817-5000

1577 E Chevy Chase Dr
Ste 300
Glendale, CA 91206
Phone (818) 240-8300

1577 E Chevy Chase Dr
Ste 330
Glendale, CA 91206
Phone (818) 553-8013

14650 Aviation Blvd
Ste 200
Hawthorne, CA 90250
Phone (310) 539-2300

14650 Aviation Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 725-8505

3268 E Gage Ave
Huntington Pk, CA 90255
Phone (323) 238-3324

103 S Locust St
Inglewood, CA 90301
Phone (310) 412-3277

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1300 N Vermont Ave
Ste 605
Los Angeles, CA 90027
Phone (213) 662-8194

1700 E Cesar E Chavez Ave
Ste 2500
Los Angeles, CA 90033
Phone (323) 268-6731

3737 Martin Luther King Jr Blvd
Ste 403
Lynwood, CA 90262
Phone (310) 635-2223

3737 Martin Luther King Jr Blvd
#403
Lynwood, CA 90262

433 N 4th St
Ste 212
Montebello, CA 90640
Phone (323) 238-3324

18546 Roscoe Blvd
Ste 200
Northridge, CA 91324
Phone (818) 993-1112

1180 N Indian Canyon Dr
Ste E311
Palm Springs, CA 92262
Phone (760) 320-4136

41250 12th St W
Ste C
Palmdale, CA 93551
Phone (323) 328-8059

800 Fairmount Ave
Ste 411
Pasadena, CA 91105

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1396934824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 550",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951624",
            "telephone_number": "310-570-0235",
            "fax_number": "310-570-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 16th St Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041275",
            "country_code": "US",
            "telephone_number": "424-259-6559",
            "fax_number": "424-259-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "ABIE",
        "middle_name": "AVRAHAM HERSHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A103554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIE",
            "last_name": "MENDELSOHN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.