Individual provider Active NPI

Hashim Gazi, M.D.

  • Interventional Cardiology Physician
  • Tarzana, CA
National Provider Identifier
1417373010
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A166600 Issued in CA
Practice address
18370 Burbank Blvd Ste 707
Tarzana, CA 91356-2869
Phone
(818) 345-5580
Fax
(818) 609-2834
NPI assigned
Mar 7, 2014
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 036141858 IL
Interventional Cardiology Physician 207RI0011X A166600 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd Ste 707
Tarzana, CA 91356-2869

Mailing address

18370 Burbank Blvd Ste 707
Tarzana, CA 91356-2869
Phone (818) 345-5580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgazi1744585@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200212000993 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6901187236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2830
Phone (818) 345-5580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166600CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jul 19, 2021 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Jul 19, 2021 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

18370 Burbank Blvd
Ste 701
Tarzana, CA 91356
Phone (818) 345-5580

18370 Burbank Blvd
Ste 707
Tarzana, CA 91356
Phone (818) 345-5580

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hgazi@yourcarecommunity.org

Organizations & group practices 4

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 5

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1417373010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 707",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562869",
            "telephone_number": "818-345-5580",
            "fax_number": "818-609-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 707",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562869",
            "telephone_number": "818-345-5580",
            "fax_number": "818-609-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZI",
        "first_name": "HASHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036141858",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A166600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgazi1744585@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18370 Burbank Blvd Ste 707",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913562869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.