Individual provider Active NPI

Salima Hassanali, D.O., MPH

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1326363565
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A11645 Issued in CA
Practice address
3851 Katella Ave
Ste 155
Los Alamitos, CA 90720-3309
Phone
(562) 344-1350
Fax
(562) 344-1354
NPI assigned
Mar 31, 2010
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO 1585 NV
Internal Medicine Physician 207R00000X 20A11645 CA Primary

Addresses

Primary practice location

3851 Katella Ave
Ste 155
Los Alamitos, CA 90720-3309

Mailing address

75 Remittance Dr
Department 6008
Chicago, IL 60675-6008
Phone (562) 282-1419

Other identifiers 1

IdentifierTypeStateIssuer
1326363565MedicaidNV

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
I20161216001644 CA Practitioner - Internal Medicine 1557539475 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11645CAMDAcupuncturist
20A11645CAMDInternal Medicine Physician
DO 1585NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group Inc. CurrentSince Nov 21, 2016 Accepting new patients
Healthcare Partners Medical Group (Coats), LTD. Past Accepting new patients
Southwest Medical Associates, Inc Internal Medicine PastSince Mar 21, 2005 Accepting new patients

Locations

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

3851 Katella Ave
Ste 155
Los Alamitos, CA 90720
Phone (562) 344-1350

Interoperability endpoints

  • Direct secure messaging: salima.hassanali.1@14883.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1326363565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "DEPARTMENT 6008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756008",
            "telephone_number": "562-282-1419",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE",
            "address_2": "STE 155",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203309",
            "telephone_number": "562-344-1350",
            "fax_number": "562-344-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANALI",
        "first_name": "SALIMA",
        "name_prefix": "Dr.",
        "credential": "D.O., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO 1585",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326363565",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.