Brandon Abdi
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Los Angeles, CA
NPI 1992657522 · NPPES record last updated Feb 14, 2026
Key facts
- NPI
- 1992657522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 604 N Kenter Ave
Los Angeles, CA 90049-1918 - Phone
- (310) 254-7373
- NPI assigned
- Feb 14, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526002509 | LA | Order and Referring Only - Oral Surgery |
0244700730 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
604 N Kenter Ave
Los Angeles, CA 90049-1918
Mailing address
604 N Kenter Ave
Los Angeles, CA 90049-1918
Other providers in Los Angeles, CA
- Lama Matni Abdelnour
- Mohamed Abdelrahim
- Sahar Mustafa Abdelrahman
- Marilyn Abdelsayed
- Mahmoud Abdelwahab
- Farah Ali Abdi
- Ridwa Abdi
- Jason Abdian
- Loghman Abdian
- Pedram Shawn Abdian
All providers in Los Angeles, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 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.