Individual provider Active NPI

Sultan Alhakeem

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1659493625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41587 Issued in CA
Practice address
200 Newport Center Dr Ste 308
Newport Beach, CA 92660-7504
Phone
(949) 760-6200
Fax
(949) 760-0127
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41587 CA Primary

Addresses

Primary practice location

200 Newport Center Dr Ste 308
Newport Beach, CA 92660-7504

Mailing address

200 Newport Center Dr Ste 308
Newport Beach, CA 92660-7504
Phone (949) 760-6200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A41587CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659493625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR STE 308",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607504",
            "telephone_number": "949-760-6200",
            "fax_number": "949-760-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR STE 308",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607504",
            "telephone_number": "949-760-6200",
            "fax_number": "949-760-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAKEEM",
        "first_name": "SULTAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.