Active NPI
Edward Ezra Abdullah, M.D.
- Clinical Cardiac Electrophysiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G59365
- Practice address
- 1245 Wilshire Blvd Ste 580
Los Angeles, CA 90017-5854 - Phone
- (213) 977-0419
- Fax
- (213) 977-0225
- NPI assigned
- Sep 7, 2005
- Last updated
- Jul 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G59365 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd Ste 580
Los Angeles, CA 90017-5854
Mailing address
1245 Wilshire Blvd Ste 580
Los Angeles, CA 90017-5854
Phone (213) 977-0419
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G593650 | Medicaid | CA | |
| P00128330 | Other | CA | MEDICARE RAILROAD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of California, Irvine, California College of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
685 N 13TH Ave
Suite 9
Upland, CA 91786-4963
Phone (909) 949-3977
Hospital & facility affiliations
- Pih Health Good Samaritan Hospital
- San Antonio Regional Hospital
- Pih Health Hospital-Whittier
- Uci Health-Orange
- Greater El Monte Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59365 | CA | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1245 Wilshire Blvd
Ste 570
Los Angeles, CA 90017
1245 Wilshire Blvd
Ste 580
Los Angeles, CA 90017
Phone (213) 977-0419
1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017
Phone (213) 977-0419
1355 San Pablo St
Los Angeles, CA 90033
Phone (626) 457-5800
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860
4500 Brockton Ave
Ste 203
Riverside, CA 92501
Phone (951) 686-3600
399 E Highland Ave
Ste 424
Sn Bernrdno, CA 92404
Phone (909) 833-5315
1382 E Foothill Blvd
Upland, CA 91786
Phone (909) 949-3977
685 N 13th Ave
Ste 9
Upland, CA 91786
Phone (909) 949-3977
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- edwardabdullah@pihh.allscriptsdirect.net
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Family Medicine
-
- Family Medicine Physician
- Bellflower, CA
- NPI 1285252932
-
dba Fair Oaks Clinic
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
dba USC Kenneth Norris Jr. Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South El Monte, CA
- NPI 1346232881
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1740274547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 580",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175854",
"telephone_number": "213-977-0419",
"fax_number": "213-977-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD STE 580",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900175854",
"telephone_number": "213-977-0419",
"fax_number": "213-977-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULLAH",
"first_name": "EDWARD",
"middle_name": "EZRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G59365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G593650",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00128330",
"state": "CA"
}
],
"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 21, 2023; 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.