Individual provider Active NPI

Alexander Hazel, D.O.

  • Child & Adolescent Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1891769105
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
20A8379 Issued in CA
Practice address
4250 Auburn Blvd
Sacramento, CA 95841-4100
Phone
(530) 400-5607
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 20A8379 CA Primary
Psychiatry Physician 2084P0800X 20A8379 CA

Addresses

Primary practice location

4250 Auburn Blvd
Sacramento, CA 95841-4100

Mailing address

PO Box 4217
Davis, CA 95617-4217
Phone (530) 400-5607

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
I20070829000623 CA Practitioner - Psychiatry 1254424781 Reassigns benefits to 3 organizations
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touro University Medical GroupGroup PAC ID 5799119541, 23 clinicians

Practice addresses (Care Compare)

1805 N California St
Suite 201
Stockton, CA 95204-6032
Phone (209) 943-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8379CAMDChild & Adolescent Psychiatry Physician
8379CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Solutions, P.C. Psychiatry CurrentSince Apr 1, 2021 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 3, 2016 Accepting new patients
Touro University Medical Group Psychiatry CurrentSince Apr 1, 2024 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 3, 2016 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Northbay Healthcare Group Current Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1400 Expo Pkwy
Sacramento, CA 95815
Phone (661) 398-1800

1805 N California St
Ste 201
Stockton, CA 95204
Phone (209) 479-3900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1891769105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4217",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956174217",
            "telephone_number": "530-400-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414100",
            "telephone_number": "530-400-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A8379",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A8379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.