Donn Michael Hickman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G034964 Issued in CA

Practice address

4401 Atlantic Ave Ste 101
Long Beach, CA 90807-2260

Phone

(562) 422-5902

Fax

(562) 422-6014

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

State licenses

Practice roles

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.

• California Anesthesia Associates Medical Group, Inc.

  • Anesthesiology Physician
  • Long Beach, CA
  • NPI 1457399933
  NPD (past)
• Plasticare Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Long Beach, CA
  • NPI 1437402054
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1508085655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074630",
            "telephone_number": "562-988-0365",
            "fax_number": "562-427-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072260",
            "telephone_number": "562-422-5902",
            "fax_number": "562-422-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "DONN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G034964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hia Mobile Clinic - Long Beach
• Hiawatha Harris, Corporation
• Stephanie Hickerson, PT
• Brendan C Hickey
• Casya Hickman-Jones, AUD
• James David Hickman, MMF
• Myesha Hickman
• Jovan Hicks
• Keelin Hicks
• Pearlman David Hicks Jr., MD

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.