Individual provider Active NPI

Haniffa M Maznavi, M.D.

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1205913811
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A33480 Issued in CA
Practice address
3791 Katella Ave Ste 101
Los Alamitos, CA 90720-2000
Phone
(562) 596-4403
Fax
(562) 596-7884
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A33480 CA Primary

Addresses

Primary practice location

3791 Katella Ave Ste 101
Los Alamitos, CA 90720-2000

Mailing address

3791 Katella Ave
101
Los Alamitos, CA 90720-3105
Phone (562) 596-4403

Other identifiers 1

IdentifierTypeStateIssuer
00A334800MedicaidCA

Other names 1

  • Muhammad H Maznavi Other name

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
I20100311000134 CA Practitioner - Internal Medicine 6406991751 Practice locations: Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 321
Los Alamitos, CA 90720-3369
Phone (562) 596-4403

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Alamitos West Health & Rehabilitation Nursing home, Los Alamitos, CA, CCN 056169

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33480CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Organizations & group practices 1

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 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1205913811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE",
            "address_2": "101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203105",
            "telephone_number": "562-596-4403",
            "fax_number": "562-596-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3791 KATELLA AVE STE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202000",
            "telephone_number": "562-596-4403",
            "fax_number": "562-596-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZNAVI",
        "first_name": "HANIFFA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A334800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "MAZNAVI",
            "middle_name": "H",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.