Hazel Abaya
Individual provider Active NPI Internal Medicine Physician · Thousand Oaks, CA
NPI 1780116186 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1780116186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A169439 (CA)
- Practice address
- 2190 Lynn Rd Ste 300
Thousand Oaks, CA 91360-8024 - Phone
- (805) 370-4802
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chest and Critical Care Consultants a Medical Group
Practice addresses (Care Compare)
1211 W la Palma Ave
Suite 404
Anaheim, CA 92801-2806
Phone (714) 772-8282
Hospital & facility affiliations
- Uci Health-Orange
- Ahmc Anaheim Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210528001728 | CA | Practitioner - Internal Medicine | 8325319742 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169439 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current |
Accepting new patients |
| Advantage Hospitalists Inc. | Internal Medicine | Current |
Accepting new patients |
| Chest and Critical Care Consultants | Internal Medicine | Current |
Accepting new patients |
| Chest and Critical Care Consultants a Medical Group | Internal Medicine | Current |
Accepting new patients |
Locations
1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
5451 La Palma Ave
Ste 19
La Palma, CA 90623
Phone (714) 521-9126
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200
14350 Whittier Blvd
Ste 315
Whittier, CA 90605
Phone (562) 464-2163
20969 Ventura Blvd
Ste 22
Woodland Hls, CA 91364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A169439 | CA | Yes |
Addresses
Primary practice location
2190 Lynn Rd Ste 300
Thousand Oaks, CA 91360-8024
Mailing address
2190 Lynn Rd Ste 300
Thousand Oaks, CA 91360-8024
Other providers in Thousand Oaks, CA
- A Wildwood Recovery
- A Wildwood Recovery Iop
- Venkat Raghav Aachi
- Azadeh Juliet Aarons
- Sandra Abadir
- Siddique Abbasi
- Crispin Patrick Abbott
- Abc American Behavioral Treatment Center
- Danny Abdalnour
- Sara Abdel Azim
All providers in Thousand Oaks, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.