Hassan Anthony Hooshmand, PA.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13300 Issued in CA

Practice address

6907 Seville Ave
Huntington Park, CA 90255-4901

Phone

(323) 588-1100

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Alianza Medical Center Inc

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1073675385
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316067564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906102009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554901",
            "telephone_number": "323-588-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSHMAND",
        "first_name": "HASSAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PA.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA13300",
            "identifier": "PA13300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA13300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Holman
• Alexander Ken Homayouni
• Jennifer Wu Hong
• Jong Hong
• Mung Gi Hong, PA-C
• HP Community Care Medical Associates Inc
• HP Family Clinic, Inc
• Waverley Chuyun Hsiao
• Thi Thi Htway, M.D.
• Woyan Huang

• Physician Assistant in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Physician Assistant in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.