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DR. JERRY PUTHENPURAKAL ABRAHAM MD, MPH, CMQ
NPI 1932514874
General Practice in Los Angeles, CA

Active since June 30, 2014PECOS Enrolled
1400 S GRAND AVE STE 703, USC-CHMC FAMILY MEDICINE RESIDENCY PROGRAM, LOS ANGELES, CA 90015(213) 741-1106(213) 741-1434 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Puthenpurakal Abraham Md, Mph, Cmq NPPES

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

DR. JERRY PUTHENPURAKAL ABRAHAM MD, MPH, CMQ (NPI 1932514874) is an individual general practice provider in Los Angeles, California, licensed in California (141443) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932514874
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JERRY PUTHENPURAKAL ABRAHAMCredential: MD, MPH, CMQ
Location Address1400 S GRAND AVE STE 703, USC-CHMC FAMILY MEDICINE RESIDENCY PROGRAMLos Angeles, CA 90015-3068
Mailing Address1400 S Grand Ave Ste 703, Usc-chmc Family Medicine Residency ProgramLos Angeles, CA 90015-3068 · (213) 741-1106 · Fax (213) 741-1434
Phone(213) 741-1106
Fax(213) 741-1434
Sole ProprietorNo
Enumeration DateJune 30, 2014
Last NPPES UpdateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
✔ NPI 1932514874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 141443
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1400 S GRAND AVE STE 703, Los Angeles, CA 90015
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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)

Dr. Jerry Puthenpurakal Abraham Md, Mph, Cmq is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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

AGILE OCCUPATIONAL MEDICINE, PC
Clinic/Center (Occupational Medicine)
1400 S GRAND AVE STE 703
LOS ANGELES, CA 90015
Los Angeles County (323) 408-8532
DR. ROZALIN RABIEIAN KOHAN D.O.
Family Medicine
1400 S GRAND AVE STE 703
LOS ANGELES, CA 90015
Los Angeles County (213) 741-1106
DR. RUTH E. MONTES M.D
Family Medicine
1400 S GRAND AVE STE 703
LOS ANGELES, CA 90015
Los Angeles County (213) 741-1106
YOUNGHOON LEE PTA
Physical Therapy Assistant
1400 S GRAND AVE STE 703
LOS ANGELES, CA 90015
Los Angeles County (323) 408-8532
DR. KAYVON K. YADIDI D.O.
Internal Medicine
1400 S GRAND AVE STE 703
LOS ANGELES, CA 90015
Los Angeles County (323) 408-8532

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 Jerry Abraham's NPI number?

The NPI number for Jerry Abraham is 1932514874. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Jerry Abraham located?

Jerry Abraham practices at 1400 S Grand Ave Ste 703 Usc-Chmc Family Medicine Residency Program, Los Angeles, CA 90015. The listed phone number is (213) 741-1106.

What is Jerry Abraham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jerry Abraham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Abraham was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.