Individual provider Active NPI

Amal Abiaoui, DDS

  • General Practice Dentistry
  • Buttonwillow, CA
National Provider Identifier
1407853690
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47027 Issued in CA
Practice address
277 E Front St
Buttonwillow, CA 93206
Phone
(661) 764-5257
NPI assigned
Jul 1, 2005
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47027 CA Primary

Addresses

Primary practice location

277 E Front St
Buttonwillow, CA 93206

Mailing address

659 S Central Valley Hwy
Shafter, CA 93263-2790
Phone (661) 459-1900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000256 CA Practitioner - Oral Surgery 1658300116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47027CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health General Practice Current Accepting new patients
Omni Family Health CurrentSince Feb 26, 2024 Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

659 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1913

Interoperability endpoints

  • Direct secure messaging: amal.abiaoui.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: leon.hector.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1407853690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 S CENTRAL VALLEY HWY",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932632790",
            "telephone_number": "661-459-1900",
            "fax_number": "661-459-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 E FRONT ST",
            "city": "BUTTONWILLOW",
            "state": "CA",
            "postal_code": "93206",
            "telephone_number": "661-764-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIAOUI",
        "first_name": "AMAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buttonwillow, CA

Sources for this page

Verify at the official NPI Registry.