Provider Demographics
NPI:1912903329
Name:ABRAMS, JAMES HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOWARD
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:423 HURLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-1158
Mailing Address - Country:US
Mailing Address - Phone:650-867-5061
Mailing Address - Fax:650-348-4008
Practice Address - Street 1:1250 BAYHILL DR
Practice Address - Street 2:SUITE 305
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-3059
Practice Address - Country:US
Practice Address - Phone:650-866-3097
Practice Address - Fax:650-866-3212
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29601207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G296010Medicaid
CA00G296010Medicaid
CA00G296010Medicaid
00G296011Medicare ID - Type UnspecifiedSECOND OFFICE MEDICARE NO