Abelardo Pita, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G61879 Issued in CA

Practice address

13930 Seal Beach Blvd
Seal Beach, CA 90740-5301

Phone

(562) 430-8888

Fax

(562) 799-0077

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Medicine

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.

• Centers for Family Medicine GP

  dba Optumcare Medical Group

  • Family Medicine Physician
  • Los Alamitos, CA
  • NPI 1467598243
  Medicare reassignment NPD
• Brittany Watson NP Nursing Corporation

  dba Hemisphere

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1477254464
  Medicare reassignment
• Memorial Healthcare Ipa GP C/O Independent Physician MGNT Servic

  • General Practice Physician
  • Signal Hill, CA
  • NPI 1770772824
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1831118900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "949-923-3277",
            "fax_number": "855-812-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 SEAL BEACH BLVD",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405301",
            "telephone_number": "562-430-8888",
            "fax_number": "562-799-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITA",
        "first_name": "ABELARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Phan, PT, DPT
• Vivian Thu-Van Phan, RPH
• Philip P. Nguyen, DDS Inc. (Seal Beach Dentistry)
• Kevin Phung
• Trina Jane Physick, CMT
• Douglas Jeffrey Poff, D.C.
• Prakash Narain, MD, Inc
• Joanne Marie Puleo, D.C.
• Ralphs Grocery Company (Ralphs Pharmacy)
• Nolvia Cristina Ramos, BCBA

• Family Medicine Physician in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.