Organization Active NPI

Jason R. Abney, DO a California Medical Corporation

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Ladera Ranch, CA
National Provider Identifier
1760912398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
20A10200 Issued in CA
Legal business name
JASON R. ABNEY, DO A CALIFORNIA MEDICAL CORPORATION
Practice address
8 Falkner Dr
Ladera Ranch, CA 92694
Phone
(949) 350-1133
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jason Richard Abney, DONPI 1992982052
Title
DO
Phone
(949) 350-1133

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
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 20A10200 CA Primary

Addresses

Primary practice location

8 Falkner Dr
Ladera Ranch, CA 92694

Mailing address

8 Falkner Dr
Ladera Ranch, CA 92694-0925
Phone (949) 350-1133

Other practice location 1

1328 Corte Venosa
Costa Mesa, CA 92626-1680
Phone (714) 648-0977 ext. 313

Other identifiers 1

IdentifierTypeStateIssuer
BK335VOtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170518000806 CA Part B Supplier - Clinic/Group Practice 8123395324 Receives reassigned benefits from 4 practitioners
Practice locations: Ladera Ranch, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760912398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FALKNER DR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940925",
            "telephone_number": "949-350-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FALKNER DR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-350-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1328 Corte Venosa",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926261680",
            "country_code": "US",
            "telephone_number": "714-648-0977 x313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASON R. ABNEY, DO A CALIFORNIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABNEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "949-350-1133",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "20A10200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BK335V",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.