Active NPI
Hassan Chahine MD Inc
- Internal Medicine Physician
- Laguna Hills, CA
National Provider Identifier
1245851815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HASSAN CHAHINE MD INC
- Practice address
- 23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341 - Phone
- (949) 215-5055
- Fax
- (949) 326-5099
- NPI assigned
- May 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Chahine, MD
- Title
- Owner
- Phone
- (949) 215-5055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Mailing address
23141 Verdugo Dr Ste 201
Laguna Hills, CA 92653-1341
Phone (949) 215-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512003160 | CA | Part B Supplier - Clinic/Group Practice | 0547691297 |
Receives reassigned benefits from 10 practitioners Practice locations: West Covina, CA; Baldwin Park, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1902224462
CA, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617753600000",
"number": "1245851815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23141 VERDUGO DR STE 201",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531341",
"telephone_number": "949-215-5055",
"fax_number": "949-326-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23141 VERDUGO DR STE 201",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531341",
"telephone_number": "949-215-5055",
"fax_number": "949-326-5099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASSAN CHAHINE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A",
"authorized_official_last_name": "CHAHINE",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-215-5055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.