Individual provider Active NPI

Christine Soliman Girgis

  • Family Medicine Physician
  • Hawthorne, CA
National Provider Identifier
1821404450
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A144427 Issued in CA
Practice address
11946 Hawthorne Blvd
Hawthorne, CA 90250-3016
Phone
(310) 675-1136
Fax
(310) 970-1447
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A144427 CA Primary

Addresses

Primary practice location

11946 Hawthorne Blvd
Hawthorne, CA 90250-3016

Mailing address

11946 Hawthorne Blvd
Hawthorne, CA 90250-3016
Phone (310) 675-1136

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824003698 CA Practitioner - Family Practice 5991077927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Medico IncGroup PAC ID 2163617846, 3 clinicians

Practice addresses (Care Compare)

11946 Hawthorne Blvd
Hawthorne, CA 90250-3016
Phone (310) 675-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144427CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico Inc. Family Medicine CurrentSince Jul 9, 2017 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

11946 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 675-1136

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1821404450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-675-1136",
            "fax_number": "310-970-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-675-1136",
            "fax_number": "310-970-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "CHRISTINE",
        "middle_name": "SOLIMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A144427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.