Active NPI
Shazia Mahmood Hasan, M.D.
- Cardiovascular Disease Physician
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A55223
- Practice address
- 11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321 - Phone
- (310) 675-1400
- NPI assigned
- May 17, 2006
- Last updated
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A55223 | CA | Primary |
Addresses
Primary practice location
11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321
Mailing address
11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321
Phone (310) 675-1400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shasan405627@oc.providencedirect.org |
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
- Cardiovascular Disease (Cardiology)
- Education
- University of Southern California Keck School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Laguna Niguel, CA 92677
1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 303-7496
21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627
3475 Torrance Blvd
Suite a
Torrance, CA 90503-5800
Phone (310) 370-3568
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 303-7496
625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55223 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Southern California Hospitalist Network Medical Group Inc | Current | Accepting new patients | |
| Coast Cardiology Medical Associates | Past | Accepting new patients | |
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| Cedars-Sinai Marina Hospital | Past | Accepting new patients |
Locations
21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627
11633 Hawthorne Blvd
Ste 4
Hawthorne, CA 90250
Phone (310) 677-3330
11633 Hawthorne Blvd
Ste 400
Hawthorne, CA 90250
Phone (310) 675-1400
5100 W Goldleaf Cir
Los Angeles, CA 90056
Phone (310) 853-2276
5100 W Goldleaf Cir
Fl 2
Los Angeles, CA 90056
Phone (323) 293-7171
625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
4201 Torrance Blvd
Ste 260
Torrance, CA 90503
Phone (424) 212-5333
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- shasan405627@oc.providencedirect.org
Organizations & group practices 10
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.
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Cardiovascular Disease Physician
- Hawthorne, CA
- NPI 1215965207
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- Specialist
- Los Angeles, CA
- NPI 1083637367
-
dba Centinela Hospital Medical Center
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
dba Little Co of Mary Affiliated
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Little Company of Mary Medical Center San Pedro OBHC
- General Acute Care Hospital
- San Pedro, CA
- NPI 1497241541
-
dba Providence Little Company of Mary Medical Center San Pedro
- General Acute Care Hospital
- San Pedro, CA
- NPI 1942247291
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1073565107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "SUITE 400",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "310-675-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11633 HAWTHORNE BLVD",
"address_2": "SUITE 400",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502321",
"telephone_number": "310-675-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "SHAZIA",
"middle_name": "MAHMOOD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A55223",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shasan405627@oc.providencedirect.org",
"affiliation": "N",
"address_1": "5100 W Goldleaf Cir",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900561658",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.