NPIMap

Individual provider Active NPI

Glenn Takeo Hifumi, MD

  • Surgery Physician
  • Bellflower, CA
National Provider Identifier
1427138262
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A68228 Issued in CA
Practice address
9604 Artesia Blvd Ste 200
Bellflower, CA 90706-8044
Phone
(562) 925-8892
Fax
(562) 866-5978
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A68228 CA Primary

Addresses

Primary practice location

9604 Artesia Blvd Ste 200
Bellflower, CA 90706-8044

Mailing address

9604 Artesia Blvd Ste 200
Bellflower, CA 90706-8044
Phone (562) 925-8892

Other identifiers 1

IdentifierTypeStateIssuer
00A682280MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091112000222 CA Practitioner - General Surgery 6204974223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8044
Phone (562) 925-8892

Hospital & facility affiliations

  • Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68228CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn T. Hifumi, M.D. Neurological Surgery CurrentSince Jan 1, 2010 Accepting new patients
Stephen J McColgan MD Surgery Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
CHLB, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Locations

9604 Artesia Blvd
Ste 200
Bellflower, CA 90706
Phone (310) 925-8892

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1427138262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068044",
            "telephone_number": "562-925-8892",
            "fax_number": "562-866-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 200",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068044",
            "telephone_number": "562-925-8892",
            "fax_number": "562-866-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIFUMI",
        "first_name": "GLENN",
        "middle_name": "TAKEO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A68228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A682280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.