Nathan Abraham MD Vision Professionals Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NATHAN ABRAHAM MD VISION PROFESSIONALS INC

Practice address

24305 Town Center Dr Ste 160
Valencia, CA 91355-1347

Phone

(661) 799-7464

Fax

(661) 799-7583

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Abraham, MDNPI 1306224456

Title

President

Phone

(909) 645-6660

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Nathan J Abraham, M.D.

  • Ophthalmology Physician
  • Valencia, CA
  • NPI 1306224456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1942821905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 LOMA VISTA DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543313",
            "telephone_number": "909-645-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24305 TOWN CENTER DR STE 160",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551347",
            "telephone_number": "661-799-7464",
            "fax_number": "661-799-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN ABRAHAM MD VISION PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-645-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPS",
            "identifier": "1306224456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MCAFEE",
            "affiliation": "N",
            "address_1": "24305 Town Center Dr Ste 160",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913551347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Stephen M Nathanson, MD.
• Narda Navarrete
• Charmine Bowling Navarro, MSN, RN, CEN, PHN
• Irene Navarro, LMFT
• Navid Navizadeh MD Inc (Valencia Center For Women's Health)

• Ophthalmology Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.