Active NPI
Ancy Abraham, MSN, NNP-BC
- Critical Care Neonatal Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1598094286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 22424
- Practice address
- 4650 W Sunset Blvd # 31
Los Angeles, CA 90027-6062 - Phone
- (323) 361-3499
- NPI assigned
- Dec 9, 2009
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 22424 | CA | Primary |
Addresses
Primary practice location
4650 W Sunset Blvd # 31
Los Angeles, CA 90027-6062
Mailing address
4650 W Sunset Blvd, Ms #31
Los Angeles, CA 90027-6062
Phone (310) 795-9867
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204004486 | CA | Order and Referring Only - Nurse Practitioner | 7315256716 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Interoperability endpoints
- aabraham149211@direct.uclahealth.org
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1598094286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD, MS #31",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "310-795-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 W SUNSET BLVD # 31",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276062",
"telephone_number": "323-361-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "ANCY",
"name_prefix": "Ms.",
"credential": "MSN, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "CA",
"license": "22424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.