Individual provider Active NPI

Abdullah Muhammed Haroon

  • In Home Supportive Care Agency
  • Lomita, CA
National Provider Identifier
1578339222
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
194700999 Issued in CA
Practice address
25429 Narbonne Ave
Lomita, CA 90717-2125
Phone
(142) 426-2750
NPI assigned
Dec 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 194700999 CA Primary

Addresses

Primary practice location

25429 Narbonne Ave
Lomita, CA 90717-2125

Mailing address

18763 Cedar Crest Dr
Santa Clarita, CA 91387-1454
Phone (424) 262-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
194700999CAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Al-Mustafa Inc In Home Supportive Care CurrentSince Dec 10, 2023 Accepting new patients

Locations

25429 Narbonne Ave
Lomita, CA 90717
Phone (310) 326-1200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1578339222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18763 CEDAR CREST DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871454",
            "telephone_number": "424-262-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25429 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172125",
            "telephone_number": "142-426-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROON",
        "first_name": "ABDULLAH",
        "middle_name": "MUHAMMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "194700999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.