Mazen Hashisho, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A94329 Issued in CA

Practice address

12555 Garden Grove Blvd Ste 403
Garden Grove, CA 92843-1903

Phone

(562) 506-0176

Fax

(562) 506-0053

NPI assigned

Aug 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, PA2 enrollments

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 2

Specialty

Vascular SurgeryAlso: General Surgery, Thoracic Surgery

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Monterey Bay Vascular IncGroup PAC ID 3779970249, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natividad Medical Center Hospital, Salinas, CA, CCN 050248
• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
• Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

98.81

Improvement activities

40

Cost

68.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Monterey Bay Vascular, Inc.

  • Vascular Surgery Physician
  • Aptos, CA
  • NPI 1689326225
  Medicare reassignment Care Compare group NPD Authorized official
• CHLB, LLC

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626
  NPD (past)
• County of Monterey

  • Family Medicine Physician
  • Seaside, CA
  • NPI 1881645158
  NPD (past)
• Goleta Valley Cottage Hospital

  • Skilled Nursing Facility
  • Goleta, CA
  • NPI 1679587224
  NPD (past)
• University Hospital at Stony Brook

  • General Acute Care Hospital
  • Greenport, NY
  • NPI 1881690691
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Monterey

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  • Rural Health Clinic/Center
  • Gonzales, CA
  • NPI 1437549284

  Hospital

  Care Compare affiliation
• Salinas Valley Memorial Healthcare System

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1750384079
  Care Compare affiliation

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1255524427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043328",
            "telephone_number": "562-299-5200",
            "fax_number": "562-299-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 403",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431903",
            "telephone_number": "562-506-0176",
            "fax_number": "562-506-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "215-214-1427",
            "fax_number": "215-214-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2888 Long Beach Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061562",
            "country_code": "US",
            "telephone_number": "562-424-4447",
            "fax_number": "562-216-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Beverly Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404316",
            "country_code": "US",
            "telephone_number": "562-506-0176",
            "fax_number": "562-506-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASHISHO",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A94329",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD441265",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "002845",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A94329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendi Harvey
• Gabriel Alexander Harvey
• Imani Harvey
• Tamar Bathsheba Harvey
• Manha Islam Hasan
• Sadiya Ibrahim Hassan-Mohammed
• Zain Hassan
• Andrea Lynnae Haston, DPT, ATC
• Nathaniel John Hatcher
• Hau Giang Pharmacy

• Vascular Surgery Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.

Verify at the official NPI Registry.