Organization Active NPI

F John Hajaliloo MD Inc

  • Orthopaedic Surgery Physician
  • Long Beach, CA
National Provider Identifier
1073651188
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A84010 Issued in CA
Legal business name
F JOHN HAJALILOO MD INC
Practice address
2840 Long Beach Blvd
Suite 440
Long Beach, CA 90806-1516
Phone
(562) 595-6646
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Farhad Hajaliloo, MDNPI 1780674507
Title
M.D.
Phone
(562) 595-6646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A84010 CA Primary

Addresses

Primary practice location

2840 Long Beach Blvd
Suite 440
Long Beach, CA 90806-1516

Mailing address

PO Box 4630
955 Deep Valley Dr
Palos Verdes Peninsula, CA 90274-9613
Phone (562) 595-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000955 CA Part B Supplier - Clinic/Group Practice 4981591971 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

955 Deep Valley Dr
Unit 4630
Palos Verdes Peninsula, CA 90274

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or 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-2",
    "last_updated_epoch": "1273622400000",
    "number": "1073651188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4630",
            "address_2": "955 DEEP VALLEY DR",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749613",
            "telephone_number": "562-595-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "SUITE 440",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-595-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F JOHN HAJALILOO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HAJALILOO",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "562-595-6646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A84010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.