Individual provider Active NPI

David Abrahamson, MD. FACC.

  • Cardiovascular Disease Physician
  • Laguna Beach, CA
National Provider Identifier
1730387150
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43554 Issued in CA
Practice address
1415 Terrace Way
Laguna Beach, CA 92651-2813
Phone
(949) 715-4934
Fax
(949) 715-4934
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A43554 CA Primary

Addresses

Primary practice location

1415 Terrace Way
Laguna Beach, CA 92651-2813

Mailing address

1415 Terrace Way
Laguna Beach, CA 92651-2813
Phone (949) 715-4934

Other identifiers 2

IdentifierTypeStateIssuer
060034801OtherCARAILROAD MEDICARE
00A435540MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115000952 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022919794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1415 Terrace Way
Laguna Beach, CA 92651-2813

500 Superior Ave
Suite 200
Newport Beach, CA 92663-3659
Phone (949) 262-2996

PO Box
Suite 10051
Santa Ana, CA 92711-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43554CAMDProsthodontist
A43554CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Abrahamson MD Inc Cardiovascular Disease CurrentSince Aug 1, 1990 Accepting new patients

Locations

500 Superior Ave
Ste 200
Newport Beach, CA 92663
Phone (949) 262-2996

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.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1730387150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TERRACE WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512813",
            "telephone_number": "949-715-4934",
            "fax_number": "949-715-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TERRACE WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512813",
            "telephone_number": "949-715-4934",
            "fax_number": "949-715-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD. FACC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060034801",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.