Individual provider Active NPI

Ragaie Hakim, M.D

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1104952084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A56354 Issued in CA
Practice address
1557 E Florence Ave
Los Angeles, CA 90001-2551
Phone
(323) 584-1490
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A56354 CA Primary

Addresses

Primary practice location

1557 E Florence Ave
Los Angeles, CA 90001-2551

Mailing address

PO Box 660896
Arcadia, CA 91066-0896
Phone (323) 584-1490

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
I20050621001324 CA Practitioner - Family PracticePractitioner - Pediatric Medicine 4981646353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Medical Center 2 clinicians
Gage Medical Center 2 clinicians
Tweety Family Clinic Inc 2 clinicians

Practice addresses (Care Compare)

1557 E Florence Ave
Los Angeles, CA 90001-2551
Phone (323) 584-1490

1557 E Florence Ave
Los Angeles, CA 90001-2597

2719 E Gage Ave
Huntington Park, CA 90255-4202
Phone (323) 277-0272

3050 Tweedy Blvd
South Gate, CA 90280-5742
Phone (323) 357-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56354CAMDDentist
A56354CAMDPediatrics Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Tweety Family Clinic Inc CurrentSince Mar 1, 2005 Accepting new patients
Florence Medical Center Pediatrics CurrentSince Sep 1, 1999 Accepting new patients
Gage Medical Center, Inc CurrentSince Nov 6, 2003 Accepting new patients
Tweedy Family Clinic, Inc Past Accepting new patients

Locations

2719 E Gage Ave
Huntington Park, CA 90255
Phone (323) 277-0272

1557 E Florence Ave
Los Angeles, CA 90001
Phone (323) 584-1490

3050 Tweedy Blvd
South Gate, CA 90280
Phone (323) 357-0700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104952084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660896",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660896",
            "telephone_number": "323-584-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900012551",
            "telephone_number": "323-584-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "RAGAIE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.