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IVY ABRAHAM NP
NPI 1790489938
Nurse Practitioner - Family in La Habra, CA

Active since March 30, 2023PECOS Enrolled
201 S HARBOR BLVD, LA HABRA, CA 90631(844) 308-5003 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Mar 30, 2023 (2 updates tracked since 2023).

About Ivy Abraham Np NPPES

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

IVY ABRAHAM NP (NPI 1790489938) is an individual family provider in La Habra, California, licensed in California (NP95024560) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790489938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIVY ABRAHAMCredential: NP
Location Address201 S HARBOR BLVDLa Habra, CA 90631-5654
Mailing Address1000 Vale Terrace DrVista, CA 92084-5218 · (844) 308-5003
Phone(844) 308-5003
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 30, 2023
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1790489938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95024560
201 S HARBOR BLVD, La Habra, CA 90631
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Abraham Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284092347
PECOS Enrollment IDI20260518001460
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. NICOLE MEDINA DAYRIT DMD
Dentist (General Practice)
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 264-6000
MANAAL SAYED ACSW
Social Worker (Clinical)
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (844) 308-5003
YELENNIA PALACIOS M.D., M.S.L.
Family Medicine
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 264-6000
ADNAN ABBUTHALHA
Family Medicine
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (844) 308-5003
ADRIANA JENNIFER MENDEZ LCSW
Social Worker (Clinical)
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 264-6000
CHRISTINA MARIA DI GIORGIO LCSW
Social Worker
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 264-6000
JULIANNE SHAW DDS
Dentist (General Practice)
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (562) 264-6000
VISTA COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
201 S HARBOR BLVD
LA HABRA, CA 90631
Orange County (760) 631-5000

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 Ivy Abraham's NPI number?

The NPI number for Ivy Abraham is 1790489938. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Ivy Abraham located?

Ivy Abraham practices at 201 S Harbor Blvd, La Habra, CA 90631. The listed phone number is (844) 308-5003.

What is Ivy Abraham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ivy Abraham enrolled in Medicare?

Yes. Ivy Abraham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivy Abraham was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.