Active NPI
Hassan Ragab, M.D.
- Internal Medicine Physician
- Anaheim, CA
National Provider Identifier
1508897489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A48982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48982 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hassan Ragab M D Inc | Internal Medicine | Current | Accepting new patients |
| Samir Azzam MD Inc | Current | Accepting new patients | |
| Intensive Home Health Care Inc. | Past | 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.
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1376720367
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1437336435
-
- Home Health Agency
- City of Industry, CA
- NPI 1023019353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.