Individual provider Active NPI

Soheil P Hekmat, MD

  • Internal Medicine Physician
  • Inglewood, CA
National Provider Identifier
1043358369
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A32561 Issued in CA
Practice address
511 E Manchester Blvd
Inglewood, CA 90301-1907
Phone
(310) 672-9000
Fax
(310) 672-9030
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A32561 CA Primary
Family Medicine Physician 207Q00000X A32561 CA

Addresses

Primary practice location

511 E Manchester Blvd
Inglewood, CA 90301-1907

Mailing address

511 E Manchester Blvd
Inglewood, CA 90301-1907
Phone (310) 672-9000

Other identifiers 1

IdentifierTypeStateIssuer
00A325610MedicaidCA

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
I20050126001171 CA Practitioner - Internal Medicine 7911957055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 E Manchester Blvd
Inglewood, CA 90301-1907
Phone (310) 672-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A32561CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soheil Hekmat, MD, Inc. CurrentSince Nov 4, 2011 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

511 E Manchester Blvd
Inglewood, CA 90301
Phone (310) 672-9000

12212 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 391-5241

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manchester Manor Convalescent HospitalLos Angeles, CA, CCN 555273 Skilled nursing facility Contracted Managing Employee Oct 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1043358369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "310-672-9000",
            "fax_number": "310-672-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011907",
            "telephone_number": "310-672-9000",
            "fax_number": "310-672-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEKMAT",
        "first_name": "SOHEIL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32561",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A32561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A325610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.