Organization Active NPI

Hasan Syed MD Inc

  • Orthopaedic Surgery Physician
  • Ontario, CA
National Provider Identifier
1659976801
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
HASAN SYED MD INC
Practice address
5450 Jefferson Ave Ste 2
Ontario, CA 91710-3522
Phone
(909) 315-6515
Fax
(909) 315-6525
NPI assigned
Dec 3, 2020
Reactivated
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Lenell Roussell
Title
Office Manager
Phone
(909) 315-6515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

5450 Jefferson Ave Ste 2
Ontario, CA 91710-3522

Mailing address

5450 Jefferson Ave Ste 2
Ontario, CA 91710-3522
Phone (909) 315-6515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624002392 CA Part B Supplier - Clinic/Group Practice 6709265507 Receives reassigned benefits from 3 practitioners
Practice locations: Chino, CA; Loma Linda, CA

National Provider Directory

National Provider Directory

Locations

25915 Barton Rd
Ste 203
Loma Linda, CA 92354
Phone (909) 703-1612

5450 Jefferson Ave
Ste 2
Ontario, CA 91710
Phone (909) 315-6515

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1659976801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 JEFFERSON AVE STE 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917103522",
            "telephone_number": "909-315-6515",
            "fax_number": "909-315-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 JEFFERSON AVE STE 2",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917103522",
            "telephone_number": "909-315-6515",
            "fax_number": "909-315-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASAN SYED MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2024-03-26",
        "certification_date": "2022-06-24",
        "deactivation_date": "2024-02-23",
        "reactivation_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ROUSSELL",
        "authorized_official_first_name": "LENELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-315-6515"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.