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DR. MICKEY ELLIS ABRAHAM MD, MS
NPI 1609403732
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since March 26, 2020
9500 GILMAN DR, LA JOLLA, CA 92093(619) 543-5540 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, Jul 25, 2021, Mar 26, 2020 (3 updates tracked since 2020).

About Dr. Mickey Ellis Abraham Md, Ms NPPES

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

DR. MICKEY ELLIS ABRAHAM MD, MS (NPI 1609403732) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1609403732
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICKEY ELLIS ABRAHAMCredential: MD, MS
Location Address9500 GILMAN DRLa Jolla, CA 92093-5004
Mailing Address9500 Gilman DrLa Jolla, CA 92093-5004
Phone(619) 543-5540
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateAugust 13, 20213 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1609403732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 GILMAN DR, La Jolla, CA 92093
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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.

DR. LEE LE WANG M.D.
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3880
BONNIE SUSAN OMEARA NP
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-3300
ELKA RUBIN MD
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 534-2230
DR. ROBERT J PARMER M.D.
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
San Diego County (858) 552-8585
ANGELA R ACFALLE NP CNS
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
San Diego County (858) 534-2918
BRITNIE PRIEST MAT, ATC, LAT
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
San Diego County (858) 822-6747
CHRISTOPHER MONGLIN LIU
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (571) 721-9812
GLORIA LIN
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093
San Diego County (858) 657-8803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mickey Abraham's NPI number?

The NPI number for Mickey Abraham is 1609403732. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Mickey Abraham located?

Mickey Abraham practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (619) 543-5540.

What is Mickey Abraham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mickey Abraham was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.