Edsel Misael Abud, MD, PHD
Individual provider Active NPI Allergy & Immunology Physician · La Jolla, CA
NPI 1891257192 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1891257192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- A176314 (CA)
- Practice address
- 10666 N Torrey Pines Rd
La Jolla, CA 92037-1027 - Phone
- (858) 554-3200
- NPI assigned
- Apr 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- University of California, Irvine, California College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scripps Health
Practice addresses (Care Compare)
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 764-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614003285 | CA | Practitioner - Allergy/Immunology | 5698218949 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176314 | CA | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current |
Accepting new patients | |
| Scripps Health | Allergy & Immunology | Current | Accepting new patients |
| Scripps Health | Current |
Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645
10790 Rancho Bernardo Rd
#4S205
San Diego, CA 92127
Phone (858) 605-7171
Interoperability endpoints
- eabud285429@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | A176314 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Allergy & Immunology Physician | 207K00000X | A176314 | CA | Yes |
Addresses
Primary practice location
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 764-9010
Other practice location 1
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 764-9010
Other providers in La Jolla, CA
- Mickey Ellis Abraham
- Kelsey Renee Abrahamsen
- Darryl Abramson
- Amanda Abrisch
- Nadia Elizabeth Bassam Abu-Douleh
- Sami Abujbarah
- Acacia Psychological Corporation
- Angela R Acfalle
- Michael Brandon Ackerman
- Active Rest Chiropractic
All providers in La Jolla, CA · Allergy & Immunology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.