Physician Compare National (NPI:1104016872)

HEALTHCARE PROVIDER: JOSEF Z ABBO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1104016872
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8426209263
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121105000039
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ABBO
	Individual professional last name
Provider First Name	JOSEF
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	TOTAL FAMILY CARE SPECIALISTS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6608026307
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3280 N RAINBOW BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	LAS VEGAS
	Group Practice or individual's city
State	NV
	Group Practice or individual's state
Zip Code	891085011
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7022334555
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	290053
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ROSE DOMINICAN HOSPITALS - SAN MARTIN CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	290012
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ROSE DOMINICAN HOSPITALS - ROSE DE LIMA CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	290058
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DIGNITY HEALTH ST ROSE DOMINICAN-NORTH LAS VEGAS CAMPUS
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y