NPI 1801359393 · live from the CMS NPI Registry
Nizar Abdelfattah, MD
Ophthalmology in Pasadena, CA. National Provider Identifier 1801359393, active.
NPI record
| NPI | 1801359393 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 100 E California Blvd, Pasadena, CA 91105 |
| Practice phone | 626-269-5371 |
| Mailing address | 130 Blue Crest Ln, Durham, NC 27705 |
| Enumerated | April 11, 2019 |
| Last updated | December 3, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 260919 (NC) |
| Ophthalmology, Retina Specialist | 207WX0107X | Pending (CA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 78979 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.