Hamid Malakooti, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A40504 Issued in CA

Practice address

2428 W Whittier Blvd
Montebello, CA 90640-3041

Phone

(323) 722-5550

Fax

(323) 722-0704

NPI assigned

Oct 25, 2006

Last updated

May 28, 2008By the provider in NPPES

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

Other identifiers 2

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

Specialty

General Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• HNNN Medical Corporation

  dba Hamid Malakooti M.D.

  • General Practice Physician
  • Montebello, CA
  • NPI 1952560344
  Medicare reassignment NPD Authorized official
• La Vida Clinic Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1720824220
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1538243373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403041",
            "telephone_number": "323-722-5550",
            "fax_number": "323-722-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403041",
            "telephone_number": "323-722-5550",
            "fax_number": "323-722-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAKOOTI",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A405040",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "954216264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altagracia Martinez Madera
• Roberto Madrid, MD
• Iris Magallanes
• Carlos Garcia Makabali, M.D.
• Ardavan Makaremi, PT, DPT
• Dominick Alexander Maldonado, DDS
• Edward Maldonado
• Charlton Mallari, PT, DPT, CSCS
• Emmanuel Manalo, PT
• Prabhat S Manchanda, MD

• Pediatrics Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.