NPIMap

Organization Active NPI

Pathway Medical Group, Inc

  • Internal Medicine Physician
  • Westminster, CA
National Provider Identifier
1164473757
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATHWAY MEDICAL GROUP, INC
Practice address
7955 Westminster Blvd
Westminster, CA 92683-4001
Phone
(714) 379-3221
Fax
(714) 379-3211
NPI assigned
May 16, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Hassan M. Alkhouli, M.D.
Title
C.E. O.
Phone
(714) 379-3221

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Family Medicine Physician 207Q00000X CA
Internal Medicine Physician 207R00000X Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

7955 Westminster Blvd
Westminster, CA 92683-4001

Mailing address

PO Box 2989
Seal Beach, CA 90740-1989
Phone (714) 379-3221

Other identifiers 3

IdentifierTypeStateIssuer
GR0100562MedicaidCA
GR0100560MedicaidCA
GR0100561MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000511 CA Part B Supplier - Clinic/Group Practice 5092776690 Receives reassigned benefits from 28 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westminster, CA; Garden Grove, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11100 Warner Ave
Ste 120
Fountain Vly, CA 92708
Phone (714) 556-8480

12462 Brookhurst St
Garden Grove, CA 92840
Phone (714) 379-3221

12462 Brookhurst St
Ste Ab
Garden Grove, CA 92840
Phone (714) 636-9850

12462 Brookhurst St
Ste B
Garden Grove, CA 92840
Phone (714) 379-3215

12555 Garden Grove Blvd
Ste 501
Garden Grove, CA 92843
Phone (714) 534-2222

12665 Garden Grove Blvd
Ste 502B
Garden Grove, CA 92843
Phone (714) 534-2222

12665 Garden Grove Blvd
Ste A
Garden Grove, CA 92843

12665 Garden Grove Blvd
Ste Ab
Garden Grove, CA 92843

12665 Garden Grove Blvd
Ste B
Garden Grove, CA 92843

2621 S Bristol St
Ste 203
Santa Ana, CA 92704
Phone (714) 662-2256

14591 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1164473757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2989",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907401989",
            "telephone_number": "714-379-3221",
            "fax_number": "714-379-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834001",
            "telephone_number": "714-379-3221",
            "fax_number": "714-379-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "ALKHOULI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "C.E. O.",
        "authorized_official_telephone_number": "714-379-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100562",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100560",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.

Verify at the official NPI Registry.