Jamal Hussain, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

C52498 Issued in CA

Practice address

3700 South St
Lakewood, CA 90712-1419

Phone

(602) 570-0440

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA, IN3 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 3

Specialty

Internal Medicine

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vista Health Mirza MD PCGroup PAC ID 6800054792, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamal.hussain.1@1739.direct.athenahealth.com

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.

• Vista Health Mirza MD PC

  • Cardiovascular Disease Physician
  • Fort Mohave, AZ
  • NPI 1033393194

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jamal Hussain MD Inc

  • Medical Specialty Clinic/Center
  • Lakewood, CA
  • NPI 1710262571
  Medicare reassignment Authorized official
• Porter Physician Services LLC

  • Family Medicine Physician
  • Valparaiso, IN
  • NPI 1508075680
  Medicare reassignment
• Hosea E Brown MD Inc

  • Allergy Physician
  • Palm Springs, CA
  • NPI 1316265010
  NPD (past)
• Bashir Azher Medical Associates PC

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1083837223
  NPD (past)
• Halifax Heart Center PC

  • Specialist
  • South Boston, VA
  • NPI 1881700169
  NPD (past)

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

• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1922031806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3939",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907113939",
            "telephone_number": "602-570-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121419",
            "telephone_number": "602-570-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2632 N 20th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850061339",
            "country_code": "US",
            "telephone_number": "602-266-2200",
            "fax_number": "602-240-6177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 South St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121531",
            "country_code": "US",
            "telephone_number": "562-630-7711",
            "fax_number": "562-478-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "JAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52498",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C52498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220808",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiara Hughes
• Humanitas Home Health LLC
• Christina Marie Hunt, ATC
• Elijah Hunt
• Alexxandra Hurtado
• Melissa V Huynh Nguyen, M.D.
• Jonathan Bao Huynh, D.C.
• Kenneth Huynh, RD
• Linh Gia Huynh
• Jisung Hwang, PHARMD

• Interventional Cardiology Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.