Hajera Sultana MD., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A78589 Issued in CA

Legal business name

HAJERA SULTANA MD., INC

Practice address

3838 Sherman Dr
Ste 12
Riverside, CA 92503-4001

Phone

(951) 351-9994

Fax

(951) 351-2394

NPI assigned

Nov 4, 2007

Last updated

Nov 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hajera Sultana, M.D.NPI 1063537306

Title

President

Phone

(951) 283-4725

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hajera Sultana, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1063537306
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194134400000",
    "number": "1821278169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR",
            "address_2": "STE 12",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-351-9994",
            "fax_number": "951-351-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR",
            "address_2": "STE 12",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-351-9994",
            "fax_number": "951-351-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAJERA SULTANA MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2007-11-04",
        "status": "A",
        "authorized_official_last_name": "SULTANA",
        "authorized_official_first_name": "HAJERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-283-4725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1063537306",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA785890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Marie Haines
• Andone Hairabedian
• Daysy Haith
• Jawad Mahid Hajawad, MSW/CASW
• Haidar Hajeh
• Sara Hajizadeh Barfjani, MD
• Mark Hakim
• Stephanie Kay Hakker
• Annie Marie Hakopian, RN
• Silva Hakopian

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; 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.