Elliot Abravanel, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C32845 Issued in CA

Practice address

705 Chaucer Rd
San Marino, CA 91108-1311

Phone

(323) 788-8500

NPI assigned

May 10, 2020

Last updated

May 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1821610114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 CHAUCER RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081311",
            "telephone_number": "323-788-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 CHAUCER RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081311",
            "telephone_number": "323-788-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAVANEL",
        "first_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C32845",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C32845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella M Abrahan, MFT, MD
• Ashley Elizabeth Adams, RN
• Advanced Fitness Chiropractic
• Affiliated Physicians Medical Group
• Deok Hee Ahn, LAC.
• Susan Albinger, OTR/L

• General Practice Physician in San Marino, CA
• Providers in San Marino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.