Individual provider Active NPI

Philip L. Abel, D.R.T.

  • Radiologic Technologist
  • Los Angeles, CA
National Provider Identifier
1689880106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
RHP 41412 Issued in CA
Practice address
2050 S Bundy Dr Ste 268
Los Angeles, CA 90025-6128
Phone
(310) 447-6141
Fax
(310) 447-6142
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RHP 41412 CA Primary

Addresses

Primary practice location

2050 S Bundy Dr Ste 268
Los Angeles, CA 90025-6128

Mailing address

2050 S Bundy Dr Ste 268
Los Angeles, CA 90025-6128
Phone (310) 447-6141

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
RHP 41412CAMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689880106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S BUNDY DR STE 268",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256128",
            "telephone_number": "310-447-6141",
            "fax_number": "310-447-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S BUNDY DR STE 268",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256128",
            "telephone_number": "310-447-6141",
            "fax_number": "310-447-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEL",
        "first_name": "PHILIP",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "D.R.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHP 41412",
            "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 Jul 8, 2007; 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.