Individual provider Active NPI

Hazel Abaya

  • Internal Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1780116186
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A169439 Issued in CA
Practice address
2190 Lynn Rd Ste 300
Thousand Oaks, CA 91360-8024
Phone
(805) 370-4802
NPI assigned
Apr 3, 2017
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A169439 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001728 CA Practitioner - Internal Medicine 8325319742 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 404
Anaheim, CA 92801-2806
Phone (714) 772-8282

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A169439CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Dec 27, 2024 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Dec 27, 2024 Accepting new patients
Advantage Hospitalists Inc. Internal Medicine CurrentSince Oct 20, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Apr 1, 2021 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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1780116186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 LYNN RD STE 300",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608024",
            "telephone_number": "805-370-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAYA",
        "first_name": "HAZEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A169439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.