Organization Active NPI

Shazia M Hasan MD Inc

  • Cardiovascular Disease Physician
  • Hawthorne, CA
National Provider Identifier
1215965207
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A55223 Issued in CA
Legal business name
SHAZIA M HASAN MD INC
Practice address
11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321
Phone
(310) 675-1400
Fax
(310) 675-1402
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Shazia Mahmood Hasan, M.D.
Title
Owner
Phone
(310) 675-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A55223 CA Primary

Addresses

Primary practice location

11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321

Mailing address

11633 Hawthorne Blvd
Suite 400
Hawthorne, CA 90250-2321
Phone (310) 675-1400

Other identifiers 1

IdentifierTypeStateIssuer
DE9271OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

11633 Hawthorne Blvd
Ste 4
Hawthorne, CA 90250
Phone (310) 677-3330

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1215965207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE 400",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-675-1400",
            "fax_number": "310-675-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "SUITE 400",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-675-1400",
            "fax_number": "310-675-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAZIA M HASAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "MAHMOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-675-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A55223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.