Active NPI
F John Hajaliloo MD Inc
- Orthopaedic Surgery Physician
- Long Beach, CA
National Provider Identifier
1073651188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A84010
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farhad Hajaliloo, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
955 Deep Valley Dr
Unit 4630
Palos Verdes Peninsula, CA 90274
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Long Beach, CA
- NPI 1780674507
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.