Organization Active NPI

David Abrahamson MD Inc

  • Cardiovascular Disease Physician
  • Irvine, CA
National Provider Identifier
1942381793
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43554 Issued in CA
Legal business name
DAVID ABRAHAMSON MD INC
Practice address
16300 Sand Canyon Ave
Suite 801
Irvine, CA 92618-3708
Phone
(949) 262-2996
Fax
(949) 715-4934
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Dr. David Abrahamson, MD FACCNPI 1730387150
Title
Medical Director
Phone
(949) 262-2996

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A43554 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A43554 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Ave
Suite 801
Irvine, CA 92618-3708

Mailing address

PO Box 7526
Laguna Niguel, CA 92607-7526
Phone (949) 262-2996

Other identifiers 4

IdentifierTypeStateIssuer
060034801OtherCARAILROAD MEDICARE
00A435540OtherCACAL-OPTIMA
A43554OtherCASTATE LICENSE
00A435541MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000771 CA Part B Supplier - Clinic/Group Practice 7416114434 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

4050 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (714) 771-7994

500 Superior Ave
Ste 200
Newport Beach, CA 92663
Phone (949) 262-2996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1942381793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7526",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077526",
            "telephone_number": "949-262-2996",
            "fax_number": "949-715-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 801",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183708",
            "telephone_number": "949-262-2996",
            "fax_number": "949-715-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ABRAHAMSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-262-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43554",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060034801",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL-OPTIMA",
            "identifier": "00A435540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A43554",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435541",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.