Organization Active NPI

Navid Hakimian MD a Professional Corporation

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1881840353
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G70719 Issued in CA
Legal business name
NAVID HAKIMIAN MD A PROFESSIONAL CORPORATION
Practice address
8540 S Sepulveda Blvd
Suite 1111
Los Angeles, CA 90045-3807
Phone
(310) 645-3029
Fax
(310) 645-8685
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Navid Hakimian, M.D.
Title
President
Phone
(310) 645-3029

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G70719 CA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X G70719 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd
Suite 1111
Los Angeles, CA 90045-3807

Mailing address

PO Box 91765
Los Angeles, CA 90009-1765
Phone (310) 645-3029

Other identifiers 1

IdentifierTypeStateIssuer
00G707191MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081015000313 CA Part B Supplier - Clinic/Group Practice 6709944036 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0984986Navid Hakimian MD8540 S Sepulveda Blvd Ste1111, Los Angeles, CA 90045Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

3858 W Carson St
Ste 123
Torrance, CA 90503
Phone (310) 316-1015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1881840353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91765",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091765",
            "telephone_number": "310-645-3029",
            "fax_number": "310-645-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-645-3029",
            "fax_number": "310-645-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVID HAKIMIAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "NAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-645-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70719",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G70719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G707191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.