Active NPI
Ali Hafezi, MD
- Pain Medicine (Psychiatry & Neurology) Physician
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Psychiatry & Neurology) Physician
- License
- G70333
- Practice address
- 12401 Washington Blvd
Whittier, CA 90602-1006 - Phone
- (562) 698-0811
- Fax
- (562) 698-7624
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | G70333 | CA | Primary |
Addresses
Primary practice location
12401 Washington Blvd
Whittier, CA 90602-1006
Mailing address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
12462 Putnam St
Whittier, CA 90602-1048
Phone (562) 789-5430
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
Hospital & facility affiliations
- Presbyterian Intercommunity Hospital Home Health
- Pih Health Hospital-Whittier
- Presbyterian Intercommunity
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.61 of 100
- Quality
- 58.7
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70333 | CA | MD | Pain Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201
La Mirada, CA 90638
Phone (562) 903-7339
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
12462 Putnam St
Ste 402
Whittier, CA 90602
Phone (562) 789-5466
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- alihafezi@pihh.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Family Medicine Physician
- La Mirada, CA
- NPI 1982857967
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Home Health Agency
- La Mirada, CA
- NPI 1649275868
-
- Rehabilitation Hospital Unit
- Whittier, CA
- NPI 1972508893
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245257948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021006",
"telephone_number": "562-698-0811",
"fax_number": "562-698-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021006",
"telephone_number": "562-698-0811",
"fax_number": "562-698-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFEZI",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "CA",
"license": "G70333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.