Organization Active NPI

Robert Arnold Abrams D P M a Podiatry Corporation

  • Podiatrist
  • West Covina, CA
National Provider Identifier
1417255498
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1549 Issued in CA
Legal business name
ROBERT ARNOLD ABRAMS D P M A PODIATRY CORPORATION
Practice address
1135 S Sunset Ave
Suite 107
West Covina, CA 91790-3937
Phone
(626) 962-9442
Fax
(626) 337-7663
NPI assigned
Mar 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Robert Arnold Abrams, DPMNPI 1437170982
Title
Podiatrist
Phone
(626) 962-9442

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E1549 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave
Suite 107
West Covina, CA 91790-3937

Mailing address

1135 S Sunset Ave
Suite 107
West Covina, CA 91790-3937
Phone (626) 962-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930073512 CA DME Supplier - Physician - Podiatry 3476760117 1 other NPI on this enrollment
Practice locations: West Covina, CA
O20110305000023 CA Part B Supplier - Clinic/Group Practice 3476760117 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1417255498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-962-9442",
            "fax_number": "626-337-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-962-9442",
            "fax_number": "626-337-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ARNOLD ABRAMS D P M A PODIATRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "626-962-9442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.