ADELAIDE ABIEMO (PAC) – Physician Assistant, NPI 1295900280
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for ADELAIDE ABIEMO (PAC)
425 DIAMOND DR STE 104&105
LAKE ELSINORE, CA 925304495
Phone: (951) 674-8779
Fax: (951) 674-1403
Type: Location
575 E Hardy St
205
Inglewood, CA 903014036
Phone: (310) 275-7575
Fax: (310) 623-6655
Type: Location
575, East Hardy Street, Inglewood, Los Angeles County, California, 90301, United States
205
INGLEWOOD, CA 903014036
Phone: (310) 275-7575
Fax: (310) 623-6655
Type: Mailing
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $210.
Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.
Last reported payment date: 2024-05-20 • Largest payer in this snapshot: Kowa Pharmaceuticals America, Inc. ($84).
Total Amount
$210
General + Research + Ownership
Payments
12
Total payment records
General Amount
$210
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150921001994 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92530)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | NV | |
| Internal Medicine | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA |
Reviews
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