Individual provider Active NPI

Maria Elena Abello, D.M.D.

  • General Practice Dentistry
  • Aliso Viejo, CA
National Provider Identifier
1790728335
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39363 Issued in CA
Practice address
6 Journey
Suite 150
Aliso Viejo, CA 92656-5317
Phone
(949) 448-0900
Fax
(949) 362-3904
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39363 CA Primary

Addresses

Primary practice location

6 Journey
Suite 150
Aliso Viejo, CA 92656-5317

Mailing address

6 Journey
Suite 150
Aliso Viejo, CA 92656-5317
Phone (949) 448-0900

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001883 CA Order and Referring Only - DentistPractitioner - Dentist 5496057366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39363CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Maria E Abello, DMD, Inc General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790728335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JOURNEY",
            "address_2": "SUITE 150",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565317",
            "telephone_number": "949-448-0900",
            "fax_number": "949-362-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JOURNEY",
            "address_2": "SUITE 150",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565317",
            "telephone_number": "949-448-0900",
            "fax_number": "949-362-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLO",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.