Individual provider Active NPI

Richard J Hahn, M.D.

  • Surgery Physician
  • Lancaster, CA
National Provider Identifier
1508927997
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G25115 Issued in CA
Practice address
44215 15TH St W
Suite 203
Lancaster, CA 93534-4014
Phone
(661) 948-0062
Fax
(661) 949-5787
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 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 G25115 CA Primary

Addresses

Primary practice location

44215 15TH St W
Suite 203
Lancaster, CA 93534-4014

Mailing address

44215 15TH St W
Suite 203
Lancaster, CA 93534-4014
Phone (661) 948-0062

Other identifiers 1

IdentifierTypeStateIssuer
00G251150MedicaidCA

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
I20080423000555 CA Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Thoracic Surgery 1951489491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Southern California Keck School of Medicine, 1972
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Av Pediatrics Medical Associates. Inc.Group PAC ID 8628052404, 5 clinicians

Practice addresses (Care Compare)

1523 W Ave J
Suite 7
Lancaster, CA 93534-2819
Phone (661) 945-2221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G25115CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P.C Medical Clinic Inc CurrentSince Feb 9, 2026 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

1523 W Avenue J
Ste 7
Lancaster, CA 93534
Phone (661) 945-2221

Organizations & group practices 4

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1508927997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W",
            "address_2": "SUITE 203",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344014",
            "telephone_number": "661-948-0062",
            "fax_number": "661-949-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W",
            "address_2": "SUITE 203",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344014",
            "telephone_number": "661-948-0062",
            "fax_number": "661-949-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G25115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G251150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.