NPIMap

Individual provider Active NPI

Houman David Hemmati, M.D., PH.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1629277876
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A125161 Issued in CA
Practice address
11628 Montana Ave Apt 302
Los Angeles, CA 90049-4610
Phone
(310) 600-4123
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 21984 MD
Ophthalmology Physician 207W00000X 243445 MA
Ophthalmology Physician 207W00000X 042.0012411 VT
Ophthalmology Physician 207W00000X A125161 CA Primary

Addresses

Primary practice location

11628 Montana Ave Apt 302
Los Angeles, CA 90049-4610

Mailing address

11628 Montana Ave Apt 302
Los Angeles, CA 90049-4610
Phone (310) 600-4123

Other identifiers 4

IdentifierTypeStateIssuer
21984OtherMDMARYLAND LICENSE NUMBER
042.0012411OtherVTVERMONT MEDICAL LICENSE
A125161OtherCACALIFORNIA MEDICAL BOARD
243445OtherMAMASSACHUSETTS MEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A125161CAMDOphthalmology Physician
243445MAMDOphthalmology Physician
042.0012411VTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients

Organizations & group practices 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1629277876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 MONTANA AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494610",
            "telephone_number": "310-600-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 MONTANA AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494610",
            "telephone_number": "310-600-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMATI",
        "first_name": "HOUMAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "21984",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "243445",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042.0012411",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A125161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE NUMBER",
            "identifier": "21984",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MEDICAL LICENSE",
            "identifier": "042.0012411",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "A125161",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS MEDICAL LICENSE NUMBER",
            "identifier": "243445",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.