Individual provider Active NPI

Rahwa T. Abraha

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1407031784
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
IRA8004 Issued in CA
Practice address
5607 S Manhattan PL
Los Angeles, CA 90062-2624
Phone
(310) 895-5149
NPI assigned
Jan 4, 2008
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IRA8004 CA Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

5607 S Manhattan PL
Los Angeles, CA 90062-2624

Mailing address

5607 S Manhattan PL
Los Angeles, CA 90062-2624
Phone (310) 895-5149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IRA8004CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1407031784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 S MANHATTAN PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622624",
            "telephone_number": "310-895-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 S MANHATTAN PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900622624",
            "telephone_number": "310-895-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHA",
        "first_name": "RAHWA",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IRA8004",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.