Individual provider Active NPI

Edward Ezra Abdullah, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Los Angeles, CA
National Provider Identifier
1740274547
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G59365 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G593650MedicaidCA
P00128330OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000551 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4183712466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59365CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Usc Care Medical Group, Inc Family Medicine CurrentSince Jan 1, 2019 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.