Individual provider Active NPI

Pedram Shawn Abdian, M,D,

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1891021531
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A 109793 Issued in CA
Practice address
1107 S Alvarado St
Suite 102
Los Angeles, CA 90006-4184
Phone
(213) 380-9999
NPI assigned
Oct 31, 2009
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A 109793 CA Primary

Addresses

Primary practice location

1107 S Alvarado St
Suite 102
Los Angeles, CA 90006-4184

Mailing address

PO Box 20410
Los Angeles, CA 90006-0410

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110511000614 CA Practitioner - Family Practice 8325224108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Los AngelesGroup PAC ID 1850296534, 395 clinicians

Practice addresses (Care Compare)

5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 897-6000

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jul 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Jul 1, 2017 Accepting new patients
L and P Medical Group Inc Family Medicine CurrentSince Mar 31, 2024 Accepting new patients
County of Los Angeles Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 29, 2013 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1107 S Alvarado St
Ste 102
Los Angeles, CA 90006
Phone (213) 380-9999

5850 S Main St
Los Angeles, CA 90003
Phone (323) 846-4312

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pedramabdian@hcpca.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1891021531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900060410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S ALVARADO ST",
            "address_2": "SUITE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064184",
            "telephone_number": "213-380-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIAN",
        "first_name": "PEDRAM",
        "middle_name": "SHAWN",
        "credential": "M,D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A 109793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.