Individual provider Active NPI

Hamayun Moin Nawaz, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Bernardino, CA
National Provider Identifier
1871817189
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
T9759 Issued in TX
Practice address
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone
(909) 883-8611
NPI assigned
Mar 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T9759 TX
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X T9759 TX Primary
Internal Medicine Physician 207R00000X A108784 CA

Addresses

Primary practice location

1700 N Waterman Ave
San Bernardino, CA 92404-5115

Mailing address

116 Love Bird LN
Murphy, TX 75094-3251
Phone (310) 990-1458

Other practice location 1

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 242-2000

Other practice location 2

2831 E President George Bush Hwy
Richardson, TX 75082-3561
Phone (469) 204-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160304001809 CA Practitioner - Internal Medicine 4082868310 Reassigns benefits to 2 organizations
I20231104000675 TX Practitioner - Internal Medicine 4082868310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108784CAMDInternal Medicine Physician
T9759TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Single Specialty CurrentSince Aug 5, 2024 Accepting new patients
Dignity Health Medical Foundation Single Specialty Current Accepting new patients
Q Physician Group, PLLC Single Specialty CurrentSince Oct 3, 2025 Accepting new patients
Dignity Health Medical Foundation Single Specialty CurrentSince Aug 5, 2024 Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2400 Lakeside Blvd
Ste 265
Richardson, TX 75082
Phone (469) 757-1600

Organizations & group practices 6

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": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1871817189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LOVE BIRD LN",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750943251",
            "telephone_number": "310-990-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045115",
            "telephone_number": "909-883-8611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760635899",
            "country_code": "US",
            "telephone_number": "682-242-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2831 E President George Bush Hwy",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750823561",
            "country_code": "US",
            "telephone_number": "469-204-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAWAZ",
        "first_name": "HAMAYUN",
        "middle_name": "MOIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T9759",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "T9759",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.