Nia Abbas

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Colton, CA

NPI 1831847375 · NPPES record last updated Mar 14, 2022

Key facts

NPI
1831847375
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1501 Violet St
Colton, CA 92324-1603
Phone
(909) 580-9661
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1501 Violet St
Colton, CA 92324-1603

Mailing address

12709 Moss Landing Dr
Bakersfield, CA 93311-5106
Phone (661) 717-2483

Other identifiers

IdentifierTypeStateIssuer
2384672MedicaidCA

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL CUSM Direct

Other providers in Colton, CA

All providers in Colton, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.