Active NPI
Jerry Louis Abajian, M.D.
- Anesthesiology Physician
- Napa, CA
National Provider Identifier
1851336218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G60758
- Practice address
- 2100 Napa Vallejo Hwy
Napa, CA 94558-6234 - Phone
- (707) 253-5000
- Fax
- (707) 253-5097
- NPI assigned
- Jun 19, 2006
- Last updated
- Nov 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G60758 | CA | Primary |
Addresses
Primary practice location
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Mailing address
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (707) 253-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G607582 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60758 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Lavee MD, Inc. | Anesthesiology | Past | Accepting new patients |
| Redwood Anesthesia Services, a Medical Corporation | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1851336218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-253-5000",
"fax_number": "707-253-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-253-5000",
"fax_number": "707-253-5097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAJIAN",
"first_name": "JERRY",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G60758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G607582",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.