Gasser Mahgr Hathout, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G66261 Issued in CA

Practice address

14445 Oliveview Dr
Sylmar, CA 91342

Phone

(818) 364-1555

NPI assigned

Aug 29, 2006

Last updated

Mar 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment
• Insight Health Corp

  dba Olive View - UCLA Imaging Center

  • Physiological Laboratory
  • Sylmar, CA
  • NPI 1225003072

  Diagnostic Radiology

  NPD
• UCLA Radiology Medical Group

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1881670248

  Neuroradiology

  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1497863278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SAN GABRIEL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91208",
            "telephone_number": "818-242-7350",
            "fax_number": "818-242-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVEVIEW DR",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHOUT",
        "first_name": "GASSER",
        "middle_name": "MAHGR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "G66261",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G66261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C7662610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahnaz Hassanvan, R.N.
• Hathaway Sycamores Child and Family Services
• Hathaway Sycamores Child and Family Services (Sycamores)
• Hathaway Sycamores Child and Family Services (Sycamores)
• Hathaway-Sycamores (Sycamores)
• Dwayne A. Hayes
• Liudmila Hayeuskaya, NP
• Healthy Mind Therapy, Licensed Clinical Social Worker Corp
• Healthy Residents Living Center Inc.
• Heart2Heart Anger Solutions LLC (Heart2Heart Anger Solutions)

• Diagnostic Radiology Physician in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.

Verify at the official NPI Registry.