Active NPI
Rashedul Hasan, MD
- Internal Medicine Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P105251
- Practice address
- 16850 Bear Valley Rd
Victorville, CA 92395-5795 - Phone
- (760) 241-8000
- NPI assigned
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A205905 | CA | |
| Internal Medicine Physician | 207R00000X | P105251 | NY | Primary |
Addresses
Primary practice location
16850 Bear Valley Rd
Victorville, CA 92395-5795
Mailing address
13042 Larrera St
Etiwanda, CA 91739-9505
Phone (760) 241-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND18642D | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P105251 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Internal Medicine PLLC | Internal Medicine | Current | Accepting new patients |
| Nys Medical Associate PLLC | Internal Medicine | Current | Accepting new patients |
| Infinite Medical PC | Current | Accepting new patients |
Locations
250 Skillman St
Ste 202
Brooklyn, NY 11205
11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754
10201 66th Rd
#1B
Forest Hills, NY 11375
16411 Chapin Pkwy
Jamaica, NY 11432
Phone (718) 296-7800
6135 Dry Harbor Rd
Middle Vlg, NY 11379
Phone (718) 505-7500
130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1376880013
-
- Internal Medicine Physician
- Rego Park, NY
- NPI 1104268572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1376169730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13042 LARRERA ST",
"city": "ETIWANDA",
"state": "CA",
"postal_code": "917399505",
"telephone_number": "760-241-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955795",
"telephone_number": "760-241-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASAN",
"first_name": "RASHEDUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A205905",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "P105251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ND18642D",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.