Hussein Hijazi, MD
Individual provider Active NPI Family Medicine Physician · Mecca, CA
NPI 1356737191 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1356737191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A169664 (CA)
- Practice address
- 91275 66TH Ave
Suite 500
Mecca, CA 92254-6515 - Phone
- (760) 396-1249
- Fax
- (760) 396-1253
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Desert Medical Group Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210503002750 | CA | Practitioner - Family Practice | 6507128808 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169664 | CA | MD | Family Medicine Physician |
| D86132 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Desert Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| Clinicas de Salud del Pueblo Inc. | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current |
Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
321 W Hobsonway
Ste C
Blythe, CA 92225
Phone (760) 922-4981
1166 K St
Brawley, CA 92227
Phone (760) 344-3583
81880 Doctor Carreon Blvd
Ste C108
Indio, CA 92201
Phone (760) 775-9641
275 N El Cielo Rd
Ste D402
Palm Springs, CA 92262
Phone (310) 650-6729
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
57840 29 Palms Hwy
Ste A
Yucca Valley, CA 92284
Phone (760) 323-8657
Interoperability endpoints
- hussein.hijazi.p2@direct.mydohc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D86132 | MD | |
| Family Medicine Physician | 207Q00000X | MT212202 | PA | |
| Family Medicine Physician | 207Q00000X | A169664 | CA | Yes |
Addresses
Primary practice location
91275 66TH Ave
Suite 500
Mecca, CA 92254-6515
Mailing address
91275 66TH Ave
Suite 500
Mecca, CA 92254-6515
Phone (760) 396-1249
Other practice location 1
3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150
Other providers in Mecca, CA
- Galilee Center, Inc.
- Randolph Douglas Gibbs
- Jiliberto Gutierrez-Garcia Jr.
- Ariana Hernandez Perez
- Javier Hernandez
- Radd Horchin
- Maria Clara Jimenez
- Kiet Tran, DDS, Inc
- Deborah Lee Krieger
- Ivonne Lopez
All providers in Mecca, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.