Individual provider Active NPI

Michelle El-Hajjaoui, DO

  • Hematology & Oncology Physician
  • West Covina, CA
National Provider Identifier
1184010662
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20A15250 Issued in CA
Practice address
1115 S Sunset Ave Ste 200
West Covina, CA 91790-3940
Phone
(626) 732-8390
Fax
(626) 631-0951
NPI assigned
Apr 10, 2015
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20A15250 CA Primary
Medical Oncology Physician 207RX0202X 20A15250 CA

Addresses

Primary practice location

1115 S Sunset Ave Ste 200
West Covina, CA 91790-3940

Mailing address

PO Box 4039
Orange, CA 92863-4039

Other practice location 1

415 W Carroll Ave Ste 202
Glendora, CA 91741-4208
Phone (626) 225-2111

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
I20220610002402 CA Practitioner - Hematology/Oncology 6608161450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
Suite 200
West Covina, CA 91790-3940
Phone (626) 732-8390

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
82.35 of 100Reported as group
Quality
52.92
Promoting interoperability
93
Improvement activities
40
Cost
70.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15250CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Care Foundation CurrentSince Jan 22, 2024 Accepting new patients
City of Hope Medical Foundation Hematology & Oncology CurrentSince Jul 1, 2022 Accepting new patients
Emanate Health Medical Group Past Accepting new patients

Locations

1041 W Badillo St
Ste 104
Covina, CA 91722
Phone (626) 732-4168

412 W Carroll Ave
Ste 108
Glendora, CA 91741
Phone (626) 852-0411

412 W Carroll Ave
Ste 200
Glendora, CA 91741
Phone (626) 335-0228

415 W Carroll Ave
Ste 202
Glendora, CA 91741
Phone (626) 225-2111

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

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

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1115 S Sunset Ave
Ste 201
West Covina, CA 91790

1250 S Sunset Ave
Ste 303
West Covina, CA 91790
Phone (626) 856-5658

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: melhajjaoui780865@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1184010662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4039",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928634039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-732-8390",
            "fax_number": "626-631-0951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Carroll Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917414208",
            "country_code": "US",
            "telephone_number": "626-225-2111",
            "fax_number": "626-631-0951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-HAJJAOUI",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A15250",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "20A15250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.