Tara M Abbondanza, NP

Key facts

NPI

1730355173

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

13616 (CA)

Practice address

289 W Huntington Dr Ste 401
Arcadia, CA 91007-3493

Phone

(626) 254-0074

Fax

(626) 254-0079

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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.

• Foothill Cardiology Medical Group Inc Cardiovascular Disease Physician · Pasadena, CA · NPI 1255382545
  Medicare reassignment Care Compare group NPD CA

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Usc Arcadia Hospital General Acute Care Hospital · Arcadia, CA · NPI 1508851288
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

University of California, Geffen School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothill Cardiology Medical Group Inc (36 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usc Arcadia Hospital Hospital · Arcadia, CA · CCN 050238

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.abbondanza.p166@direct.healthcarepartners.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Mrs. Tara M Hughes Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2024.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1730355173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80011",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168011",
            "telephone_number": "267-932-8856",
            "fax_number": "626-793-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 401",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073493",
            "telephone_number": "626-254-0074",
            "fax_number": "626-254-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBONDANZA",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "13616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "0376694",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN",
            "identifier": "13616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HUGHES",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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