Individual provider Active NPI

Umme-Aiman Halai, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1093079774
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2012017202 Issued in MO
Practice address
UCLA
10833 Le Conte Ave (RM 37-121 - CHS)
Los Angeles, CA 90095-0001
Phone
(310) 825-8373
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2012017202 MO Primary

Addresses

Primary practice location

UCLA
10833 Le Conte Ave (RM 37-121 - CHS)
Los Angeles, CA 90095-0001

Mailing address

10671 Holman Ave
Apt 208
Los Angeles, CA 90024-5962
Phone (206) 316-0289

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
I20180612002280 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 8628203197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012017202MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2018 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

241 N Figueroa St
Los Angeles, CA 90012
Phone (213) 240-8204

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 3

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1093079774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 HOLMAN AVE",
            "address_2": "APT 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245962",
            "telephone_number": "206-316-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA",
            "address_2": "10833 LE CONTE AVE (RM 37-121 - CHS)",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAI",
        "first_name": "UMME-AIMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2012017202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.