Individual provider Active NPI

Rabab Hajar, M.D

  • Gastroenterology Physician
  • San Luis Obispo, CA
National Provider Identifier
1003103805
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A133570 Issued in CA
Practice address
35 Casa St Ste 130
San Luis Obispo, CA 93405-1887
Phone
(805) 541-1422
Fax
(805) 595-1815
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X A133570 CA Primary

Addresses

Primary practice location

35 Casa St Ste 130
San Luis Obispo, CA 93405-1887

Mailing address

35 Casa St Ste 130
San Luis Obispo, CA 93405-1887
Phone (805) 541-1422

Other practice location 1

1220 Las Tablas Rd Ste 1418
Templeton, CA 93465-9756
Phone (805) 434-4315

Other names 1

  • Dr. Rabab Hajar Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151201002347 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 2961702691 Reassigns benefits to 2 organizations
I20250414000393 NM Practitioner - Gastroenterology 2961702691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (505) 727-2000

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738
Phone (714) 449-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133570CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Multi-Specialty CurrentSince Jun 11, 2020 Accepting new patients
Southwest Medical Associates, LLC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
First Choice Physician Partners Multi-Specialty Current Accepting new patients
First Choice Physician Partners Multi-Specialty CurrentSince Jun 11, 2020 Accepting new patients
Southwest Medical Associates, LLC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
First Choice Physician Partners Multi-Specialty Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

35 Casa St
Ste 130
San Luis Obispo, CA 93405
Phone (805) 541-1422

959 Las Tablas Rd
Ste B3
Templeton, CA 93465
Phone (805) 395-3277

1220 Las Tablas Rd
Ste 1418
Templeton, CA 93465
Phone (805) 434-1825

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

Interoperability endpoints

  • Direct secure messaging: rhajar1336136@ahs.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1003103805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051887",
            "telephone_number": "805-541-1422",
            "fax_number": "805-595-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051887",
            "telephone_number": "805-541-1422",
            "fax_number": "805-595-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Las Tablas Rd Ste 1418",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659756",
            "country_code": "US",
            "telephone_number": "805-434-4315",
            "fax_number": "805-434-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJAR",
        "first_name": "RABAB",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A133570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RABAB",
            "last_name": "HAJAR",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.