Individual provider Active NPI

Ben Ha, M.D.,

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1043305774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A70143 Issued in CA
Practice address
711 W College St
Suite 540
Los Angeles, CA 90012-1163
Phone
(213) 626-5151
Fax
(213) 626-0510
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A70143 CA Primary

Addresses

Primary practice location

711 W College St
Suite 540
Los Angeles, CA 90012-1163

Mailing address

711 W College St
Suite 540
Los Angeles, CA 90012-1163
Phone (213) 626-5151

Other identifiers 1

IdentifierTypeStateIssuer
00A701430MedicaidCA

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
I20120125000840 CA Practitioner - Obstetrics/Gynecology 6800066523 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacifica Foundation LLCGroup PAC ID 0648624718, 5 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 407
Los Angeles, CA 90027-6086
Phone (323) 627-4874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70143CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jul 1, 2022 Accepting new patients
Gracelight Community Health CurrentSince Jul 1, 2022 Accepting new patients
Carl K. Moy, M.D. Inc. Obstetrics & Gynecology CurrentSince Jul 10, 2000 Accepting new patients
Carl K. Moy, M.D. Inc Obstetrics & Gynecology CurrentSince Jul 10, 2000 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

711 W College St
Ste M88
Los Angeles, CA 90012
Phone (213) 625-8825

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

1300 N Vermont Ave
Ste 204
Los Angeles, CA 90027

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

4618 Fountain Ave
Los Angeles, CA 90029
Phone (323) 717-3453

711 W College St
Ste 540
Los Angeles, CA 90012
Phone (213) 673-1880

500 N Garfield Ave
Ste 104
Monterey Park, CA 91754
Phone (626) 280-3781

600 N Garfield Ave
Ste 106
Monterey Park, CA 91754
Phone (626) 280-3781

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ben.ha.p1@direct.aphcv.nextgenshare.com
  • Direct secure messaging: pacificafoundation.benha@157113.advancedmd-direct.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043305774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-626-5151",
            "fax_number": "213-626-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST",
            "address_2": "SUITE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121163",
            "telephone_number": "213-626-5151",
            "fax_number": "213-626-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A70143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.