Active NPI
Abraham Ishaaya, M.D. a Professional Corporation
- Pulmonary Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G71854
- Legal business name
- ABRAHAM ISHAAYA, M.D. A PROFESSIONAL CORPORATION
- Practice address
- 5901 W Olympic Blvd
Ste 200
Los Angeles, CA 90036 - Phone
- (323) 954-1788
- Fax
- (323) 954-1822
- NPI assigned
- May 17, 2006
- Last updated
- Aug 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham M Ishaaya, M.D.
- Title
- Medical Director
- Phone
- (323) 954-1788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | G71854 | CA | |
| Pulmonary Disease Physician | 207RP1001X | G71854 | CA | Primary |
Addresses
Primary practice location
5901 W Olympic Blvd
Ste 200
Los Angeles, CA 90036
Mailing address
9663 Santa Monica Blvd
Ste 136
Beverly Hills, CA 90210-4303
Phone (323) 553-7308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G718541 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9230 W Olympic Blvd
Fl 2
Beverly Hills, CA 90212
9663 Santa Monica Blvd
Beverly Hills, CA 90210
Phone (310) 773-3396
345 E Carson St
Carson, CA 90745
Phone (310) 830-4010
11630 Grevillea Ave
Hawthorne, CA 90250
Phone (310) 679-9732
5901 W Olympic Blvd
Ste 201
Los Angeles, CA 90036
Phone (310) 358-5530
5901 W Olympic Blvd
Ste 202
Los Angeles, CA 90036
Phone (323) 933-0422
941 S Atlantic Blvd
Ste 101
Monterey Park, CA 91754
Phone (626) 458-8401
2635 Honolulu Ave
Montrose, CA 91020
Phone (323) 634-1940
1360 W 6th St
Ste J
San Pedro, CA 90732
Phone (310) 548-6589
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1912959925
Allergy & Immunology
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1265410146
-
- Adult Health Nurse Practitioner
- Los Angeles, CA
- NPI 1841653789
-
- Critical Care Medicine (Internal Medicine) Physician
- Thousand Oaks, CA
- NPI 1699728410
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1982813630
-
- Rehabilitation Practitioner
- City of Compton, CA
- NPI 1972623205
-
- Rehabilitation Practitioner
- Commerce, CA
- NPI 1043461494
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1104858455
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1396847810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535587200000",
"number": "1841242948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9663 SANTA MONICA BLVD",
"address_2": "STE 136",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104303",
"telephone_number": "323-553-7308",
"fax_number": "323-556-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90036",
"telephone_number": "323-954-1788",
"fax_number": "323-954-1822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABRAHAM ISHAAYA, M.D. A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2018-08-30",
"status": "A",
"authorized_official_last_name": "ISHAAYA",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "323-954-1788",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "CA",
"license": "G71854",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G71854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G718541",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.