BRANDON KOSAL ABRAJAN DO
NPI 1861141186
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Brandon Abrajan's NPI number?

The NPI number for Brandon Abrajan is 1861141186. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Brandon Abrajan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Abrajan was last updated on March 23, 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.

Active since March 23, 2022PECOS Enrolled

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(562) 218-9547 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brandon Kosal Abrajan Do NPPES

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

BRANDON KOSAL ABRAJAN DO (NPI 1861141186) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861141186

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON KOSAL ABRAJANCredential: DO

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address4445 Magnolia AveRiverside, CA 92501-4135 · (562) 218-9547

Phone(562) 218-9547

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1861141186 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.

4445 MAGNOLIA AVE, Riverside, CA 92501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Kosal Abrajan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911470703

PECOS Enrollment IDI20260623004264

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.

MR. DAVID W LEVINE PA-C

Physician Assistant