Active NPI
Gilbert Hakim, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1376622480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 20988
- Practice address
- 10333 Santa Monica Blvd Ste 1
Los Angeles, CA 90025-6906 - Phone
- (310) 657-4866
- Fax
- (818) 670-7804
- NPI assigned
- Nov 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 20988 | CA | Primary |
Addresses
Primary practice location
10333 Santa Monica Blvd Ste 1
Los Angeles, CA 90025-6906
Mailing address
10333 Santa Monica Blvd Ste 1
Los Angeles, CA 90025-6906
Phone (310) 657-4866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC 20988 | Other | CA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071227000514 | CA | Practitioner - Chiropractic | 1254411572 | Practice locations: Monterey, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
950 Cass St
Suite C
Monterey, CA 93940-4547
Phone (831) 657-9767
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 20988 | CA | MD | Chiropractor |
| 20988 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1376622480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10333 SANTA MONICA BLVD STE 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256906",
"telephone_number": "310-657-4866",
"fax_number": "818-670-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 SANTA MONICA BLVD STE 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256906",
"telephone_number": "310-657-4866",
"fax_number": "818-670-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "GILBERT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 20988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "DC 20988",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.