Healthcare Provider Details

I. General information

NPI: 1538395017
Provider Name (Legal Business Name): ANDREW GARRETT ABRASS M.D. M.P.H
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 EAST ST DEPT OF EMERGENCY MEDICINE
CONCORD CA
94520-1906
US

IV. Provider business mailing address

388 SANTA CLARA AVE #106
OAKLAND CA
94610-2687
US

V. Phone/Fax

Practice location:
  • Phone: 925-674-2140
  • Fax:
Mailing address:
  • Phone: 513-262-9227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number127494
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number260866
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: