Individual provider Active NPI

Mateen H Trimzi, MD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1821025313
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A93138 Issued in CA
Practice address
200 West Arbor Drive Mail Code 8485
Ucsd Medical Center, Hillcrest
San Diego, CA 92103-8485
Phone
(619) 543-3000
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22171 WV
Internal Medicine Physician 207R00000X A93138 CA Primary

Addresses

Primary practice location

200 West Arbor Drive Mail Code 8485
Ucsd Medical Center, Hillcrest
San Diego, CA 92103-8485

Mailing address

200 West Arbor Drive Mail Code 8485
Ucsd Medical Center, Hillcrest
San Diego, CA 92103-8485
Phone (619) 543-3000

Other identifiers 1

IdentifierTypeStateIssuer
3810004704MedicaidWV

Other names 1

  • Syed Mateen Hasan Former name

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
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Kelly Medical Services Corporation LLC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1821025313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE MAIL CODE 8485",
            "address_2": "UCSD MEDICAL CENTER, HILLCREST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038485",
            "telephone_number": "619-543-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE MAIL CODE 8485",
            "address_2": "UCSD MEDICAL CENTER, HILLCREST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038485",
            "telephone_number": "619-543-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMZI",
        "first_name": "MATEEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "22171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004704",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "HASAN",
            "middle_name": "MATEEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.