Hazem Y Afifi MD Incorporated

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

G86053 Issued in CA

Legal business name

HAZEM Y AFIFI MD INCORPORATED

Practice address

2200 E Fruit St
Suite 207
Santa Ana, CA 92701-4479

Phone

(714) 751-1040

Fax

(714) 973-9909

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hazem Y Afifi, MD

Title

President/Owner

Phone

(714) 751-1040

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1629220173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 EASTBLUFF DR STE B",
            "address_2": "477",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603500",
            "telephone_number": "714-751-1040",
            "fax_number": "714-751-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E FRUIT ST",
            "address_2": "SUITE 207",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014479",
            "telephone_number": "714-751-1040",
            "fax_number": "714-973-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEM Y AFIFI MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "AFIFI",
        "authorized_official_first_name": "HAZEM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-751-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G86053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BV852A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018520",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.