Individual provider Active NPI

Hassan Ragab, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1508897489
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48982 Issued in CA
Practice address
1211 W la Palma Ave Ste 707
Anaheim, CA 92801-2814
Phone
(714) 776-2100
Fax
(714) 776-1960
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A48982 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 707
Anaheim, CA 92801-2814

Mailing address

1211 W la Palma Ave Ste 707
Anaheim, CA 92801-2814
Phone (714) 776-2100

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
I20080204000396 CA Practitioner - Internal Medicine 6507948205 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48982CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan Ragab M D Inc Internal Medicine CurrentSince Dec 3, 2007 Accepting new patients
Samir Azzam MD Inc Current Accepting new patients
Intensive Home Health Care Inc. PastSince May 1, 2003 Accepting new patients

Locations

1211 W La Palma Ave
Ste 70
Anaheim, CA 92801
Phone (714) 991-1350

1211 W La Palma Ave
Ste 707
Anaheim, CA 92801
Phone (714) 776-2100

1111 W La Palma Ave
Ste 707
Anaheim, CA 92801

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1508897489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 707",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "714-776-2100",
            "fax_number": "714-776-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 707",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012814",
            "telephone_number": "714-776-2100",
            "fax_number": "714-776-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAB",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.