Individual provider Active NPI

Abdul Mustajeeb Haseeb, M.D.

  • Hematology & Oncology Physician
  • Fresno, CA
National Provider Identifier
1407897093
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A76480 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
Fax
(559) 326-1230
NPI assigned
Jun 8, 2006
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A76480 CA Primary

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (559) 326-1222

Other identifiers 3

IdentifierTypeStateIssuer
P00242086OtherCARAILROAD MEDICARE
ZZZ37565ZOtherCAMEDICARE ID
A760241OtherCAMEDICAL LICENSE

Other names 1

  • Dr. Abdul Mustajeeb Haseeb Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000268 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6507859394 Reassigns benefits to 3 organizations
I20170919004112 MO Practitioner - Hematology/Oncology 6507859394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76480CAMDPharmacist
A76480CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Dec 8, 2006 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 3, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 3, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 3, 2024 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Hematology & Oncology CurrentSince Aug 9, 2017 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Current Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Dec 8, 2006 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Missouri Baptist Medical Center Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (833) 578-2781

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

1791 E Fir Ave
Fresno, CA 93720
Phone (559) 326-1222

2740 S Elm Ave
Fresno, CA 93706
Phone (559) 457-5200

6121 N Thesta St
Ste 303
Fresno, CA 93710
Phone (559) 450-2300

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

7130 N Millbrook Ave
Ste 100
Fresno, CA 93720
Phone (209) 447-4949

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

789 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 519-4800

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

Interoperability endpoints

  • Direct secure messaging: abdul.haseeb@ccare.direct.varian.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1407897093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEEB",
        "first_name": "ABDUL",
        "middle_name": "MUSTAJEEB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A76480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00242086",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ37565Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A760241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL",
            "last_name": "HASEEB",
            "middle_name": "MUSTAJEEB",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.