Individual provider Active NPI

Asma Haji Datoo, MD

  • Hospitalist Physician
  • Mission Hills, CA
National Provider Identifier
1023647039
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
184446 Issued in CA
Practice address
15451 San Fernando Mission Blvd Ste 200
Mission Hills, CA 91345-1395
Phone
(818) 466-7506
NPI assigned
Apr 2, 2020
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 184446 CA Primary

Addresses

Primary practice location

15451 San Fernando Mission Blvd Ste 200
Mission Hills, CA 91345-1395

Mailing address

15451 San Fernando Mission Blvd Ste 200
Mission Hills, CA 91345-1395
Phone (818) 466-7506

Other names 1

  • Annie Haji Datoo Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004761 CA Practitioner - Internal Medicine 6002356904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184446CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Sep 1, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Sep 1, 2024 Accepting new patients

Locations

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1023647039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15451 SAN FERNANDO MISSION BLVD STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451395",
            "telephone_number": "818-466-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15451 SAN FERNANDO MISSION BLVD STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451395",
            "telephone_number": "818-466-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI DATOO",
        "first_name": "ASMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "184446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "HAJI DATOO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.