Mary Gamil Absood, M.D.
Individual provider Active NPI Internal Medicine Physician · Covina, CA
NPI 1497735906 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1497735906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A73772 (CA)
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 331-6411
- Fax
- (626) 251-1560
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Department of State Hospitals
Practice addresses (Care Compare)
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (916) 651-8811
Hospital & facility affiliations
- Los Angeles Community Hospital
- Coast Plaza Hospital
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 |
|---|---|---|---|---|
| I20040907000766 | CA | Practitioner - Internal Medicine |
7012983521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current |
Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current |
Accepting new patients | |
| Jse Emergency Medical Group | Past | Accepting new patients |
Locations
11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73772 | CA | Yes |
| Pediatrics Physician | 208000000X | A73772 | CA |
Addresses
Primary practice location
420 W Rowland St
Covina, CA 91723-2943
Mailing address
420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411
Other providers in Covina, CA
- Christopher Alan Abernathy
- Antonious Jonah Abraham
- Tsige Abram
- Absolute Patient Sitter Staffing Services
- Absolute Senior Care Services, Inc
- Access Medical Transport Corp
- Accolade Medical
- Jacqueline M Aceves
- Maria Elena Aceves
- Nancy Aceves
All providers in Covina, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.