Active NPI
Whigmass D Abegaz, ASCP
- Pathology Specialist/Technologist
- San Diego, CA
National Provider Identifier
1740767896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- 25604258
- Practice address
- 9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297 - Phone
- (858) 266-5000
- NPI assigned
- Jul 22, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25604258 | IL | MD | Pathology Specialist/Technologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | 25604258 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9455 Clairemont Mesa Blvd
San Diego, CA 92123-1297
Mailing address
24045 Vista Corona
Dana Point, CA 92629-1649
Other practice location 1
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2018.
{
"created_epoch": "1532217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1740767896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24045 VISTA CORONA",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926291649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9455 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231297",
"telephone_number": "858-266-5000"
}
],
"practiceLocations": [
{
"address_1": "4647 Zion Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921202507",
"country_code": "US",
"telephone_number": "619-528-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABEGAZ",
"first_name": "WHIGMASS",
"middle_name": "D",
"credential": "ASCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-22",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "IL",
"license": "25604258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.