Active NPI
Mohsen M Hamza, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Los Angeles, CA
National Provider Identifier
1003996844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- A43543
- Practice address
- 11600 Wilshire Blvd
Suite # 420
Los Angeles, CA 90025-5781 - Phone
- (310) 477-7201
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A43543 | CA | |
| Health Service Clinic/Center | 261QH0100X | A43543 | CA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | A43543 | CA | Primary |
Addresses
Primary practice location
11600 Wilshire Blvd
Suite # 420
Los Angeles, CA 90025-5781
Mailing address
11600 Wilshire Blvd
Suite # 420
Los Angeles, CA 90025-5781
Phone (310) 477-7201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790965903 | Other | CA | MEDICARE NPI |
| 95-4286830 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11600 Wilshire Blvd
Suite 420
Los Angeles, CA 90025-1785
Phone (310) 477-7201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A43543 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Los Angeles, CA
- NPI 1790965903
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Van Nuys, CA
- NPI 1285104570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1003996844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 WILSHIRE BLVD",
"address_2": "SUITE # 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255781",
"telephone_number": "310-477-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 WILSHIRE BLVD",
"address_2": "SUITE # 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255781",
"telephone_number": "310-477-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMZA",
"first_name": "MOHSEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A43543",
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "A43543",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "A43543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1790965903",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-4286830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.