Organization Active NPI

Ali M. Awada M.D. Inc.

  • Pediatrics Physician
  • Hawthorne, CA
National Provider Identifier
1356531297
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A76844 Issued in CA
Legal business name
ALI M. AWADA M.D. INC.
Practice address
11633 Hawthorne Blvd
100
Hawthorne, CA 90250-2321
Phone
(310) 355-0054
Fax
(310) 355-0293
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Dr. Ali Mohamad Awada, M.D.NPI 1992722995
Title
President
Phone
(310) 355-0054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A76844 CA Primary

Addresses

Primary practice location

11633 Hawthorne Blvd
100
Hawthorne, CA 90250-2321

Mailing address

11633 Hawthorne Blvd
100
Hawthorne, CA 90250-2321
Phone (310) 355-0054

Other identifiers 3

IdentifierTypeStateIssuer
00A768440OtherCAMEDI-CAL
1992722995OtherCAINDIVIDUAL NPI NUMBER
00A768440OtherCABLUE SHIELD OF CA

National Provider Directory

National Provider Directory

Locations

11633 Hawthorne Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 973-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1356531297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-355-0054",
            "fax_number": "310-355-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD",
            "address_2": "100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502321",
            "telephone_number": "310-355-0054",
            "fax_number": "310-355-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI M. AWADA M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "AWADA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "MOHAMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-355-0054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A768440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1992722995",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A768440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.