Organization Active NPI

Pez Abrahams, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1407908619
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A71500 Issued in CA
Legal business name
PEZ ABRAHAMS, M.D.
Practice address
621 S Broadway
Suite 306
Los Angeles, CA 90014-1897
Phone
(818) 888-4063
Fax
(818) 888-4064
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pez Abrahams, M.D.NPI 1083632699
Title
President
Phone
(818) 888-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A71500 CA Primary

Addresses

Primary practice location

621 S Broadway
Suite 306
Los Angeles, CA 90014-1897

Mailing address

621 S Broadway
Suite 306
Los Angeles, CA 90014-1897
Phone (818) 888-4063

Other identifiers 1

IdentifierTypeStateIssuer
00A715000MedicaidCA

National Provider Directory

National Provider Directory

Locations

621 S Broadway
Ste 306
Los Angeles, CA 90014
Phone (213) 244-9997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407908619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY",
            "address_2": "SUITE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141897",
            "telephone_number": "818-888-4063",
            "fax_number": "818-888-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S BROADWAY",
            "address_2": "SUITE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141897",
            "telephone_number": "818-888-4063",
            "fax_number": "818-888-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEZ ABRAHAMS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMS",
        "authorized_official_first_name": "PEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-888-4063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A71500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A715000",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.