Active NPI
Mary Gamil Absood, M.D.
- Internal Medicine Physician
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73772
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 331-6411
- Fax
- (626) 251-1560
- NPI assigned
- Jan 19, 2006
- Last updated
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73772 | CA | Primary |
| 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
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (916) 651-8811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
Organizations & group practices 4
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.
-
dba Coalinga State Hospital
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
dba Department of State Hospitals-Atascadero
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
dba Department of State Hospitals - Metropolitan
- Psychiatric Hospital
- Norwalk, CA
- NPI 1265406565
-
- Emergency Medicine Physician
- Hawaiian Gardens, CA
- NPI 1851348486
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Los Angeles Hospital
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
Hospital
-
dba Los Angeles Comm Hosp, Norwalk Comm Hosp & LA Comm Hosp at Bellflower
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922001809
-
dba Coast Plaza Hospital
- General Acute Care Hospital
- Norwalk, CA
- NPI 1194016923
-
dba Coast Plaza Hospital
- Psychiatric Hospital Unit
- Norwalk, CA
- NPI 1952012379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1497735906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-331-6411",
"fax_number": "626-251-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABSOOD",
"first_name": "MARY",
"middle_name": "GAMIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73772",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A73772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.