Active NPI
Rachel A Abramson, MD
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1588707178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P20407
- Practice address
- 4060 Fairmount Ave
San Diego, CA 92105-1608 - Phone
- (619) 255-9154
- Fax
- (619) 795-9847
- NPI assigned
- Feb 14, 2007
- Last updated
- Oct 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P20407 | MD | Primary |
Addresses
Primary practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Mailing address
4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 584-1612
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160503001289 | CA | Order and Referring Only - Pediatric Medicine | 4587963145 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20407 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rachel.abramson.p1@direct.lamaestra.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba La Maestra Community Health Center
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1588707178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-584-1612",
"fax_number": "619-281-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-255-9154",
"fax_number": "619-795-9847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "RACHEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "P20407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.