MEDICARE: DR. ABI JAMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208600000X	Surgery Physician	MD2023-1386	NM

General Provider Information

NPI Number	:	1568987758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABI JAMES MD

Provider Business Mailing Address
First Line	:	1030 N GUADALUPE ST UNIT A2
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-5190
Country	:	US
Telephone Number	:	575-887-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 W PIERCE ST STE 103
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-3517
Country	:	US
Telephone Number	:	575-628-5051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	12/15/2023

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Directions to “ DR. ABI JAMES MD” Practice Location

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