Organization Active NPI

Michael Abaian DDS Inc

Doing business as Gage Dental Care

  • Dentist
  • Bell, CA
National Provider Identifier
1740424100
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53049 Issued in CA
Legal business name
MICHAEL ABAIAN DDS INC
Doing business as
Gage Dental Care
Practice address
4327 Gage Ave
Bell, CA 90201-1214
Phone
(323) 773-5325
NPI assigned
Apr 28, 2009
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Dr. Michael M AbaianNPI 1023263167
Title
Owner
Phone
(818) 788-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53049 CA Primary

Addresses

Primary practice location

4327 Gage Ave
Bell, CA 90201-1214

Mailing address

4327 Gage Ave
Bell, CA 90201-1214
Phone (323) 773-5325

Other names 1

  • Gage Dental Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140613001169 CA Part B Supplier - Clinic/Group Practice 6305060328 Receives reassigned benefits from 1 practitioner
Practice locations: Cudahy, CA

National Provider Directory

National Provider Directory
Tax ID family
Gage Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1740424100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011214",
            "telephone_number": "323-773-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 GAGE AVE",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902011214",
            "telephone_number": "323-773-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ABAIAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "ABAIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-788-8787",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gage Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.