ABRAHAM ALEJANDRO VANDIVER FNP
NPI 1982176947
Nurse Practitioner - Family in Escondido, CA

Q: What is Abraham Vandiver's NPI number?

The NPI number for Abraham Vandiver is 1982176947. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Q: What is Abraham Vandiver's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abraham Vandiver was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 December 31, 2018PECOS EnrolledAccepts Medicare Assignment

488 E VALLEY PKWY STE 411, ESCONDIDO, CA 92025(833) 867-4642(360) 462-2741 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Feb 14, 2019, Dec 31, 2018 (3 updates tracked since 2018).

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About Abraham Alejandro Vandiver Fnp NPPES

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

ABRAHAM ALEJANDRO VANDIVER FNP (NPI 1982176947) is an individual family provider in Escondido, California, licensed in California (95011167) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Centro, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982176947

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameABRAHAM ALEJANDRO VANDIVERCredential: FNP

Location Address488 E VALLEY PKWY STE 411Escondido, CA 92025-3380

Mailing Address1234 Riverview AveEl Centro, CA 92243-9109 · (760) 960-2663

Phone(833) 867-4642

Fax(360) 462-2741

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 31, 2018

Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1982176947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95011167

Also ListedRegistered NurseTaxonomy 163W00000X · License 820909 (CA)

488 E VALLEY PKWY STE 411, Escondido, CA 92025

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Secondary Practice Location 1

Location 11600 S Imperial AveEl Centro, CA 92243-4242 · Phone (760) 339-2802 · Fax (760) 339-2829

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abraham Alejandro Vandiver Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860826062

PECOS Enrollment IDI20191220002460

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 92025 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers24 claims39 services$4.93 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims13 services$0.96 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers12 claims12 services$45.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

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