Individual provider Active NPI

Mufadda Hasan, M.D.

  • Internal Medicine Physician
  • Colton, CA
National Provider Identifier
1265703847
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
142787 Issued in CA
Practice address
400 N Pepper Ave
Colton, CA 92324-1801
Phone
(626) 628-5227
NPI assigned
Jan 13, 2012
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 142787 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 142787 CA
Pulmonary Disease Physician 207RP1001X 142787 CA

Addresses

Primary practice location

400 N Pepper Ave
Colton, CA 92324-1801

Mailing address

400 N Pepper Ave
Colton, CA 92324-1801
Phone (626) 628-5227

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
I20160712002849 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9032401047 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians
Hasan and Alazzeh Medical PCGroup PAC ID 7719463983, 2 clinicians
Arcadia Intensivist Group Inc.Group PAC ID 9537574223, 25 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians

Practice addresses (Care Compare)

1235 W Vine St
Suite 20
Lodi, CA 95240-5144
Phone (209) 334-3411

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

242 E Airport Dr
Suite 100
San Bernardino, CA 92408-3408
Phone (626) 628-5227

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (606) 898-8000

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Medical Group, Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Mufadda J Hasan MD Inc Pulmonary Disease CurrentSince Oct 7, 2024 Accepting new patients
El-Bershawi Medical Corp Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients
Pathway Medical Group, Inc. Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Hasan & Alazzeh Medical, P.C. Pulmonary Disease CurrentSince Oct 21, 2025 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Arcadia Intensivist Group, Inc. Critical Care Medicine CurrentSince Aug 1, 2022 Accepting new patients
Pathway Medical Group, Inc Current Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7410

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

242 E Airport Dr
Ste 100
San Bernardino, CA 92408
Phone (626) 628-5227

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

7955 Westminster Blvd
Westminster, CA 92683
Phone (714) 379-2411

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1265703847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "626-628-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "626-628-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MUFADDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "142787",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "142787",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "142787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.