JUDITH ABESAMIS — NPI 1336592567 (Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded in ANTIOCH, CA)

CMS-1500 Box 24J / 33a • NPI

1336592567

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

315P00000X (CMS A2[9])

Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded

Box 32 Service Location & ZIP+4

2215 FIELD ST, ANTIOCH, CA, 94509-3919

✓ 9-Digit EDI 837 ZIP+4 (94509-3919)

Practice Phone & Referral Fax

(925) 325-5344

Fax: (925) 978-2761

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1336592567 (JUDITH ABESAMIS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1336592567` (NPI-1 Individual Practitioner)
Provider / Legal Name	JUDITH ABESAMIS
Plain-English Specialty	Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded NUCC Code: `315P00000X` (Intermediate Care Facility, Intellectual Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2215 FIELD ST, ANTIOCH, CA, 94509-3919
Practice Telephone / Fax	Tel: (925) 325-5344 \| Fax: (925) 978-2761
Administrative Mailing Address	5241 CEDAR RIDGE WAY, ANTIOCH, CA, 94531-8097
Enumeration & Last Sync	Enumerated: 2016-07-23 \| CMS Record Updated: 2016-07-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2215 FIELD ST, ANTIOCH, CA, 94509-3919

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Plain-English Taxonomy & CMS Crosswalk (315P00000X)

What Does Taxonomy Code 315P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 315P00000X translates to:
"Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A2[9] (Intermediate Care Nursing Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Intermediate Care Facility, Intellectual Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JUDITH ABESAMIS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: N/A \| License: `Verified` \| Primary: Secondary
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: CA \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JUDITH ABESAMIS (NPI #1336592567)