NPIMap

Individual provider Active NPI

Babak Hakimisefat, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Burbank, CA
National Provider Identifier
1114189354
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
20A11100 Issued in CA
Practice address
201 S. Buena Vista Street
Suite 440
Burbank, CA 91505-4577
Phone
(818) 842-4819
Fax
(818) 842-2086
NPI assigned
Jun 30, 2008
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A11100 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 20A11100 CA
Pulmonary Disease Physician 207RP1001X 20A11100 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 20A11100 CA Primary

Addresses

Primary practice location

201 S. Buena Vista Street
Suite 440
Burbank, CA 91505-4577

Mailing address

201 S. Buena Vista Street
Suite 440
Burbank, CA 91505-4577
Phone (818) 842-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429001173 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 2466589015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants for Lung Diseases Medical Group IncGroup PAC ID 7517948474, 5 clinicians

Practice addresses (Care Compare)

201 S Buena Vista St
Suite 440
Burbank, CA 91505-4577
Phone (818) 842-4819

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11100CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Group LLC CurrentSince Apr 2, 2021 Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 17, 2014 Accepting new patients
Breathe Diagnostics, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Consultants for Lung Diseases Medical Group Inc. CurrentSince Aug 21, 2011 Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Southern California Physician Consultants Solutions, PC Internal Medicine Past Accepting new patients

Locations

201 S Buena Vista St
Ste 440
Burbank, CA 91505
Phone (818) 500-0935

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bah103pcs@m1537.primeclinicalsystems.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1114189354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA STREET",
            "address_2": "SUITE 440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054577",
            "telephone_number": "818-842-4819",
            "fax_number": "818-842-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S. BUENA VISTA STREET",
            "address_2": "SUITE 440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054577",
            "telephone_number": "818-842-4819",
            "fax_number": "818-842-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMISEFAT",
        "first_name": "BABAK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11100",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "20A11100",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A11100",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A11100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.