ASHRAF AHMED ABOU-ZAMZAM MD
NPI 1457442931
Pediatrics - Pediatric Critical Care Medicine in Los Angeles, CA

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, MS#12, LOS ANGELES, CA 90027(323) 361-2557(323) 361-0728 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Oct 28, 2020 (2 updates tracked since 2020).

About Ashraf Ahmed Abou-zamzam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHRAF AHMED ABOU-ZAMZAM MD (NPI 1457442931) is an individual pediatric critical care medicine provider in Los Angeles, California, licensed in California (A65819) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Duarte, and is a graduate of Saint Louis University School Of Medicine (1996).

NPPES Registry Identity

NPI1457442931
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameASHRAF AHMED ABOU-ZAMZAMCredential: MD
Location Address4650 W SUNSET BLVD, MS#12Los Angeles, CA 90027-6062
Mailing Address3701 Wilshire Blvd Ste 600Los Angeles, CA 90010-2814 · (323) 361-3550 · Fax (323) 361-8052
Fax(323) 361-0728
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1996
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1457442931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in CA · A65819
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License A65819 (CA)
4650 W SUNSET BLVD, Los Angeles, CA 90027

Secondary Practice Location 1

Location 11500 Duarte RdDuarte, CA 91010-3012 · Phone (626) 256-4673

Other Identifiers 2

Medicaid00A658190CA
Other00A658190 851CA · Cal Optima

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ashraf Ahmed Abou-zamzam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446385835
PECOS Enrollment IDI20100324000761
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #96
LOS ANGELES, CA 90027
Pediatrics (Developmental - Behavioral Pediatrics)
4650 W SUNSET BLVD, MS#76
LOS ANGELES, CA 90027
Medical Genetics (Clinical Cytogenetics)
4650 W SUNSET BLVD, MS# 43
LOS ANGELES, CA 90027
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Practitioner (Family)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics
4650 W SUNSET BLVD, MAILSTOP #54
LOS ANGELES, CA 90027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457442931, enumerated as an "individual" on September 27, 2006.

The provider is located at 4650 W SUNSET BLVD MS#12 LOS ANGELES, CA 90027 and the phone number is (323) 361-2557.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.