Joshua Aviado Abata
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Orange, CA
NPI 1437899697 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1437899697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 The City Dr S Ste 400
Orange, CA 92868-3201 - Phone
- (714) 456-5691
- NPI assigned
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207001981 | CA | Order and Referring Only - Neurology |
7517300460 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California-Irvine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
101 The City Dr S Ste 400
Orange, CA 92868-3201
Mailing address
1250 Manzanita CT
Arroyo Grande, CA 93420-5216
Phone (805) 268-0677
Other providers in Orange, CA
- Carolyn Ann Cailo Abalon
- Michael Akande Abanise
- Edward Abarado
- Benjamin Escalante Abarca III
- Keanu Abassi
- Sarah L Abbamonto
- Lauren Abbas
- Mohammed Abbas
- Sonja Abbassi
- Abc Medicine Inc
All providers in Orange, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.