Active NPI
Dmitry Abramov, M.D.
- Advanced Heart Failure and Transplant Cardiology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- A145954
- Practice address
- 11234 Anderson St Ste Sp1637
Loma Linda, CA 92354-2804 - Phone
- (909) 558-4200
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A145954 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | A145954 | CA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | A145954 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St Ste Sp1637
Loma Linda, CA 92354-2804
Mailing address
11234 Anderson St Ste Sp1637
Loma Linda, CA 92354-2804
Phone (909) 558-4200
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 |
|---|---|---|---|---|
| I20170629002742 | CA | Practitioner - Advanced Heart Failure and Transplant Cardiology | 7618145194 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Albany Medical College of Union University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Faculty Physicians and Surgeons of LlusmSac Health System
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
81 Highland Springs Ave
Beaumont, CA 92223-3170
Phone (909) 558-4000
8599 Haven Ave
Suite 102And210
Rancho Cucamonga, CA 91730-4849
Phone (909) 558-2806
901 San Bernardino Rd
Suite 104And302
Upland, CA 91786-4912
Phone (909) 558-4000
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145954 | CA | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles (14 of 15)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Internal Medicine | Current | Accepting new patients |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Cardiovascular Disease | Current | Accepting new patients |
| Sac Health System | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Beaver Medical Group P C | Internal Medicine | Past | Accepting new patients |
| University Medical Center, Inc | Past | Accepting new patients | |
| Redlands Community Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients |
Locations
6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
81 Highland Springs Ave
Ste 303
Beaumont, CA 92223
Phone (951) 846-2611
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
1003 E Brier Dr
San Bernardino, CA 92408
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dabramov17116@epiclp.direct-ci.com
- dabramov135745@direct.llu.edu
Organizations & group practices 28
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA, Cardiovascular Disease
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
CA, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935915
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Colton, CA
- NPI 1669016499
-
- Ophthalmology Physician
- San Bernardino, CA
- NPI 1962452714
-
- Federally Qualified Health Center (FQHC)
- Murrieta, CA
- NPI 1164045522
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1235784166
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1386299204
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649439670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST STE SP1637",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST STE SP1637",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542804",
"telephone_number": "909-558-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMOV",
"first_name": "DMITRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A145954",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A145954",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "CA",
"license": "A145954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- 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.