A&E Professional Medical Group and Nursing Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION

Practice address

6816 Pacific Blvd Ste 210
Huntington Park, CA 90255-4654

Phone

(818) 754-7986

NPI assigned

Jul 26, 2022

Last updated

Aug 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eden Dabalus, NPNPI 1477061232

Title

Secretary

Phone

(310) 848-8865

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Eden B Dabalus, NP

  • Family Nurse Practitioner
  • El Segundo, CA
  • NPI 1477061232
  Medicare reassignment NPD Authorized official
• Ismael Tabligan Gestopa, NP

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1871266890
  Medicare reassignment NPD
• Linda M Avila, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Huntington Park, CA
  • NPI 1861274763

  Single Specialty

  NPD
• Armando Canlas

  • Nurse Practitioner
  • Huntington Park, CA
  • NPI 1356134803
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1750017422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 PACIFIC BLVD",
            "address_2": "SUITE 210",
            "city": "HUNTINGTON PARK,",
            "state": "CA",
            "postal_code": "902554654",
            "telephone_number": "818-754-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 PACIFIC BLVD STE 210",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554654",
            "telephone_number": "818-754-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "DABALUS",
        "authorized_official_first_name": "EDEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-848-8865",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A. de la Pena MD, Amg, Inc
• Belenda Villaruel Abanilla, D.M.D.
• Judith Abarca
• Shahira Shafik Abdel-Malek, MD
• Adel Naguib Abdelsayed, M.D.
• Carmen Maria Abrica

• Nurse Practitioner in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.