Individual provider Active NPI

Taseen F Haque

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1346949724
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1975 Zonal Ave
Kam Attn: Student Affairs Office
Los Angeles, CA 90089
Phone
(323) 442-2553
NPI assigned
Feb 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1975 Zonal Ave
Kam Attn: Student Affairs Office
Los Angeles, CA 90089

Mailing address

1975 Zonal Ave
Kam Attn: Student Affairs Office
Los Angeles, CA 90089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240607003327 WA Order and Referring Only - UrologyPractitioner - Urology 1153863972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1346949724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 ZONAL AVE",
            "address_2": "KAM ATTN: STUDENT AFFAIRS OFFICE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 ZONAL AVE",
            "address_2": "KAM ATTN: STUDENT AFFAIRS OFFICE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90089",
            "telephone_number": "323-442-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "TASEEN",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.