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A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
NPI 1750017422
Nurse Practitioner in Huntington Park, CA

Active since July 26, 2022
6816 PACIFIC BLVD STE 210, HUNTINGTON PARK, CA 90255(818) 754-7986 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2022, Jul 26, 2022 (2 updates tracked since 2022).

About A&e Professional Medical Group And Nursing Corporation NPPES

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

A&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION (NPI 1750017422) is a healthcare organization registered as a nurse practitioner in Huntington Park, California and active in the NPI registry since July 2022. The organization lists Eden Dabalus, Secretary, as its authorized official.

NPPES Registry Identity

NPI1750017422
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameA&E PROFESSIONAL MEDICAL GROUP AND NURSING CORPORATION
Location Address6816 PACIFIC BLVD STE 210Huntington Park, CA 90255-4654
Mailing Address6816 Pacific Blvd, Suite 210Huntington Park,, CA 90255-4654 · (818) 754-7986
Phone(818) 754-7986
Organization SubpartNo
Authorized OfficialEden DabalusSecretary · (310) 848-8865
Enumeration DateJuly 26, 2022
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1750017422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6816 PACIFIC BLVD STE 210, Huntington Park, CA 90255
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A&e Professional Medical Group And Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to A & e Professional Medical Group And Nursing Corporation, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ismael Gestopa, NP
Nurse Practitioner
NPI 1871266890
4425 S CENTRAL AVE
Los Angeles, CA 90011
(323) 908-4200
✔ PECOS✔ Accepts Medicare2.5 mi
Eden Dabalus, NP
Nurse Practitioner
NPI 1477061232
2321 ROSECRANS AVE STE 5200-46
El Segundo, CA 90245
(213) 537-6956
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 A&e Professional Medical Group And Nursing Corporation's NPI number?

The NPI number for A&e Professional Medical Group And Nursing Corporation is 1750017422. It was assigned to this organization in the NPPES registry on July 26, 2022.

Where is A&e Professional Medical Group And Nursing Corporation located?

A&e Professional Medical Group And Nursing Corporation is located at 6816 Pacific Blvd Ste 210, Huntington Park, CA 90255. The listed phone number is (818) 754-7986.

What is A&e Professional Medical Group And Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is A&e Professional Medical Group And Nursing Corporation enrolled in Medicare?

Yes. A&e Professional Medical Group And Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A&e Professional Medical Group And Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to A&e Professional Medical Group And Nursing Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for A&e Professional Medical Group And Nursing Corporation was last updated on August 3, 2022. 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.