Active NPI
Hasan Syed MD Inc
- Orthopaedic Surgery Physician
- Ontario, CA
National Provider Identifier
1659976801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Oroville, CA
- NPI 1023044500
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1972035376
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1982816468
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.