Mazen Issam Abbas, D.O., M.P.H.

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

20A14673 Issued in CA

Practice address

9300 Valley Childrens PL # Se09
Madera, CA 93636-8761

Phone

(559) 353-5745

Fax

(559) 353-6093

NPI assigned

Oct 25, 2005

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Children's Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653

  Pediatrics

  Medicare reassignment NPD
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment NPD
• County of Ventura

  dba VCBH - Simi Valley Youth & Family Mental Health

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD
• County of Ventura

  • Public Health & General Preventive Medicine Physician
  • Oxnard, CA
  • NPI 1801325303
  NPD
• County of Ventura

  dba Conejo Valley Family Medical Group FQHC

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253
  NPD (past)
• Mark J Ferri DO Professional LLC

  dba Ohana Osteopathic and Wellness Center

  • Family Medicine Physician
  • Kailua, HI
  • NPI 1255480638
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1790775278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 AOLOA PL APT 259",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345212",
            "telephone_number": "808-726-6653",
            "fax_number": "808-378-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SE09",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5745",
            "fax_number": "559-353-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Oneawa St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342524",
            "country_code": "US",
            "telephone_number": "808-263-4263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Aulike St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967342751",
            "country_code": "US",
            "telephone_number": "808-707-7574",
            "fax_number": "808-378-7075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "MAZEN",
        "middle_name": "ISSAM",
        "name_prefix": "Dr.",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A14673",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "20A14673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790775278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• .Haney Chiropracticpc.
• A-Healthcare, Inc.
• Sophia Christin Abarca
• Isra Abugroun
• Nathaniel Isaac Acevedo, NA
• Victoria Zafra Acharya, M.D.
• Kaili Catherine Acosta, RDN, IBCLC
• Nohemi Acuna

• Pediatric Gastroenterology Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.