Individual provider Active NPI

Payum Abdarbashi, MD

  • Internal Medicine Physician
  • West Hills, CA
National Provider Identifier
1801132170
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A124031 Issued in CA
Practice address
6442 Platt Ave # 715
West Hills, CA 91307-3216
Phone
(323) 306-0114
NPI assigned
Dec 14, 2012
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 A124031 CA Primary

Addresses

Primary practice location

6442 Platt Ave # 715
West Hills, CA 91307-3216

Mailing address

6442 Platt Ave # 715
West Hills, CA 91307-3216

Other identifiers 1

IdentifierTypeStateIssuer
00A1240310MedicaidCA

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
I20130720000083 CA Practitioner - Internal Medicine 9931340759 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1801132170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 PLATT AVE # 715",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6442 PLATT AVE # 715",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073216",
            "telephone_number": "323-306-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDARBASHI",
        "first_name": "PAYUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A124031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1240310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.