NPIMap

Organization Active NPI

Marc R. Abrams, M.D., Inc.

  • Family Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1952569451
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36795 Issued in CA
Legal business name
MARC R. ABRAMS, M.D., INC.
Practice address
12626 Riverside Dr
North Hollywood, CA 91607-3420
Phone
(818) 752-9792
Fax
(818) 752-9797
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Marc R Abrams, M.D.
Title
Physician / Owner
Phone
(818) 752-9792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36795 CA Primary

Addresses

Primary practice location

12626 Riverside Dr
North Hollywood, CA 91607-3420

Mailing address

12626 Riverside Dr
Suite 409
North Hollywood, CA 91607-3420
Phone (818) 752-9792

Other identifiers 1

IdentifierTypeStateIssuer
00G367950MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1952569451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "SUITE 409",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-752-9792",
            "fax_number": "818-752-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-752-9792",
            "fax_number": "818-752-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R. ABRAMS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "818-752-9792",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "36795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G367950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.