NPIMap

Individual provider Active NPI

Navid Hakimian MD a Professional Corp

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1619979606
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G70719 Issued in CA
Practice address
8540 S Sepulveda Blvd
Suite 1111
Los Angeles, CA 90045-3807
Phone
(310) 645-3029
Fax
(310) 645-8685
NPI assigned
Aug 10, 2005
Reactivated
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G70719 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd
Suite 1111
Los Angeles, CA 90045-3807

Mailing address

PO Box 91765
Los Angeles, CA 90009-1765
Phone (310) 645-3029

Other identifiers 1

IdentifierTypeStateIssuer
00G707191MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000294 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9638237969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of California, Davis School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8540 S Sepulveda Blvd
Suite 116
Los Angeles, CA 90045-3819
Phone (310) 645-3029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G70719CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navid Hakimian MD a Professional Corporation Pulmonary Disease CurrentSince Dec 1, 2007 Accepting new patients
THC - Orange County LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Mark W Tamarin MD Inc Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

8540 S Sepulveda Blvd
Ste 116
Los Angeles, CA 90045
Phone (310) 645-3029

8540 S Sepulveda Blvd
Ste 1111
Los Angeles, CA 90045
Phone (310) 645-3029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nhakimian212239@direct.cshs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1619979606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91765",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091765",
            "telephone_number": "310-645-3029",
            "fax_number": "310-645-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-645-3029",
            "fax_number": "310-645-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMIAN MD A PROFESSIONAL CORP",
        "first_name": "NAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-06-23",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G70719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G707191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.