Vivek Mathew Abraham, MD
Individual provider Active NPI Pediatric Orthopaedic Surgery Physician · Camp Pendleton, CA
NPI 1942829494 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1942829494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License
- A210009 (CA)
- Practice address
- 200 Mercy Cir.
Orthopaedic Surgery
Camp Pendleton, CA 92055 - Phone
- (760) 725-1619
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20200625000223 | VA | Order and Referring Only - Orthopedic Surgery |
4789006412 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | A210009 | CA | Yes |
Addresses
Primary practice location
200 Mercy Cir.
Orthopaedic Surgery
Camp Pendleton, CA 92055
Mailing address
200 Mercy Cir.
Orthopaedic Surgery
Camp Pendleton, CA 92055
Phone (760) 725-1619
Other providers in Camp Pendleton, CA
- Elizabeth Ann Aban
- Matthew James Adamo
- Dustin Adams
- Alexander Alba
- Noel Alba
- Leticia Isabel Alcantar
All providers in Camp Pendleton, CA · Pediatric Orthopaedic Surgery 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 Sep 1, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.