Mikael K Hakansson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A88831 Issued in CA

Practice address

533 Sespe Ave
Ste #C
Fillmore, CA 93015-1985

Phone

(805) 524-2749

Fax

(805) 524-6929

NPI assigned

Jun 19, 2006

Last updated

Jan 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Livingston Memorial Visiting Nurse Association Home health agency, Ventura, CA, CCN 057040
• Mission Home Health of Ventura, LLC Home health agency, Oxnard, CA, CCN 557219
• Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mikael.hakansson.p1@direct.mlhakansson1.nextgenshare.com
• Direct secure messaging: mikael.hakansson.p2@direct.mlhakansson1.nextgenshare.com
• Direct secure messaging: mikaelhakansson@cfh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mikael Hakansson, M.D. Corp.

  • Family Medicine Physician
  • Fillmore, CA
  • NPI 1487204863
  Medicare reassignment NPD Authorized official
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1124067574
  NPD (past)
• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• Community Memorial Health System

  dba Community Memorial Health Center

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD (past)
• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)

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

• County of Ventura

  dba Ventura County Medical Center

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Care Compare affiliation
• Livingston Memorial Visiting Nurse Association

  dba Livingston Memorial VNA

  • Home Health Agency
  • Ventura, CA
  • NPI 1053315739
  Care Compare affiliation
• Mission Home Health of Ventura LLC

  • Home Health Agency
  • Oxnard, CA
  • NPI 1871965970
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1942245113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE",
            "address_2": "STE #C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151985",
            "telephone_number": "805-524-2749",
            "fax_number": "805-524-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE",
            "address_2": "STE #C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151985",
            "telephone_number": "805-524-2749",
            "fax_number": "805-524-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKANSSON",
        "first_name": "MIKAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050394",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40394F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM18553H",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A888310",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08608F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE",
            "identifier": "95-1683892",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM08609F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Gonzalez, PT, DPT
• Amalia Granados, PPS CREDENTIAL
• Greenfield Care Center of Fillmore LLC
• Laura Guerra, MSW
• Susy Guerrero
• Randi Halcon, LMFT
• Ahmed Hammoodi, MD
• Heritage Valley Eye Care Optometric Center
• Nathalie Herrera
• Maria G Hurtado

• Family Medicine Physician in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.