NPIMap

Organization Active NPI

Southbay Critical Care a Medical Partnership

Doing business as Southbay Critical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Torrance, CA
National Provider Identifier
1568174282
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
SOUTHBAY CRITICAL CARE A MEDICAL PARTNERSHIP
Doing business as
Southbay Critical Care
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(949) 829-8299
Fax
(866) 596-8696
NPI assigned
Dec 14, 2022
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Alex Hakim, MD
Title
Owner
Phone
(310) 210-8404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

24422 Avenida de la Carlota Ste 275
Laguna Hills, CA 92653-3669
Phone (949) 829-8299

Other names 1

  • Southbay Critical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230130000875 CA Part B Supplier - Clinic/Group Practice 4284005216 Receives reassigned benefits from 13 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

24422 Avenida de la Carlota
Ste 275
Laguna Hills, CA 92653
Phone (949) 354-3672

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1568174282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 275",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533669",
            "telephone_number": "949-829-8299",
            "fax_number": "866-596-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "949-829-8299",
            "fax_number": "866-596-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY CRITICAL CARE A MEDICAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-210-8404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southbay Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.