Individual provider Active NPI

Amy A Hakim, MD

  • Gynecologic Oncology Physician
  • Mission Hills, CA
National Provider Identifier
1093909228
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A100716 Issued in CA
Practice address
15031 Rinaldi St Ste 150
Mission Hills, CA 91345-1207
Phone
(818) 660-4700
Fax
(818) 496-9575
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A100716 CA
Gynecologic Oncology Physician 207VX0201X A100716 CA Primary

Addresses

Primary practice location

15031 Rinaldi St Ste 150
Mission Hills, CA 91345-1207

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

1157 Swallow Ln
Simi Valley, CA 93065-3155
Phone (805) 527-2770

Other practice location 2

425 Haaland Dr
Thousand Oaks, CA 91361-5229
Phone (805) 496-2949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

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
I20071018000884 CA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5991891186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

15031 Rinaldi St
Suite 100And150
Mission Hills, CA 91345-1207
Phone (818) 496-4410

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100716CAMDGynecologic Oncology Physician

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation CurrentSince Dec 21, 2011 Accepting new patients
City of Hope Medical Group, Inc. CurrentSince Jun 1, 2011 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

1500 Duarte Rd
Bldg 149
Duarte, CA 91010
Phone (626) 359-8111

15031 Rinaldi St
Ste 150
Mission Hills, CA 91345
Phone (818) 660-4700

15031 Rinaldi St
Ste 100150
Mission Hills, CA 91345
Phone (818) 496-4410

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 340-1003

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

1157 Swallow Ln
Simi Valley, CA 93065
Phone (805) 527-2770

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

425 Haaland Dr
Ste 101
Thousand Oaks, CA 91361
Phone (805) 496-2949

425 Haaland Dr
Thousand Oaks, CA 91361
Phone (805) 381-9800

23861 McBean Pkwy
Ste B14
Valencia, CA 91355
Phone (661) 799-1999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1093909228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 RINALDI ST STE 150",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451207",
            "telephone_number": "818-660-4700",
            "fax_number": "818-496-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 Swallow Ln",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930653155",
            "country_code": "US",
            "telephone_number": "805-527-2770",
            "fax_number": "805-527-2870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Haaland Dr",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913615229",
            "country_code": "US",
            "telephone_number": "805-496-2949",
            "fax_number": "805-204-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "AMY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A100716",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A100716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.