Active NPI
Randy Wendell Hawkins, M.D.
- Internal Medicine Physician
- Inglewood, CA
National Provider Identifier
1760580971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G49354
- Practice address
- 644 E Regent St
Suite 200
Inglewood, CA 90301-1433 - Phone
- (310) 674-1970
- Fax
- (310) 674-7041
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G49354 | CA | Primary |
Addresses
Primary practice location
644 E Regent St
Suite 200
Inglewood, CA 90301-1433
Mailing address
6709 La Tijera Blvd
Suite 500
Los Angeles, CA 90045-2017
Phone (310) 674-1970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G493540 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100603000731 | CA | Practitioner - Internal Medicine | 9234195652 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
323 N Prairie Ave
Suite 401
Inglewood, CA 90301-4506
Phone (310) 674-1970
Hospital & facility affiliations
- Western States Homehealth Care Agency, Inc
- Vitas Healthcare Corporation of California
- Centinela Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49354 | CA | MD | Internal Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Torrance, CA
- NPI 1639213747
Hospice
-
- Home Health Agency
- Los Angeles, CA
- NPI 1962474387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760580971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6709 LA TIJERA BLVD",
"address_2": "SUITE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452017",
"telephone_number": "310-674-1970",
"fax_number": "310-674-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 E REGENT ST",
"address_2": "SUITE 200",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011433",
"telephone_number": "310-674-1970",
"fax_number": "310-674-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "RANDY",
"middle_name": "WENDELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G49354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G493540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
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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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.