Organization Active NPI

Abraham Ishaaya, M.D. a Professional Corporation

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1841242948
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G71854 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Abraham M Ishaaya, M.D.NPI 1912959925
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G718541MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000897 CA Part B Supplier - Clinic/Group Practice 2264416759 Receives reassigned benefits from 3 practitioners
Practice locations: Culver City, CA; West Hollywood, CA; Los Angeles, CA; Lawndale, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.