Individual provider Active NPI

Munther A Hijazin, MD

  • Neurology Physician
  • Downey, CA
National Provider Identifier
1952319253
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
WA647535 Issued in CA
Practice address
11525 Brookshire Ave Ste 205
Downey, CA 90241-4982
Phone
(562) 861-1988
Fax
(562) 861-3835
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X WA647535 CA Primary

Addresses

Primary practice location

11525 Brookshire Ave Ste 205
Downey, CA 90241-4982

Mailing address

11525 Brookshire Ave Ste 205
Downey, CA 90241-4982
Phone (562) 861-1988

Other identifiers 1

IdentifierTypeStateIssuer
WA64753BOtherCALICENSE

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
I20110415000485 CA Practitioner - Neurology 0840244885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Southern California Keck School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prentice Mitri and HijazinGroup PAC ID 0941254973, 3 clinicians

Practice addresses (Care Compare)

10916 Downey Ave
Downey, CA 90241-3709
Phone (562) 861-1988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WA647535CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prentice Mitri & Hijazin CurrentSince Jan 15, 2000 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Eladh, LP Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

11525 Brookshire Ave
Ste 205
Downey, CA 90241
Phone (562) 861-1988

10916 Downey Ave
Downey, CA 90241
Phone (562) 861-1988

11525 Brookshire Ave
Ste 400
Downey, CA 90241
Phone (562) 869-1070

361 E Whittier Blvd
Ste B
La Habra, CA 90631
Phone (562) 694-3911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1952319253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 205",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414982",
            "telephone_number": "562-861-1988",
            "fax_number": "562-861-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 205",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414982",
            "telephone_number": "562-861-1988",
            "fax_number": "562-861-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIJAZIN",
        "first_name": "MUNTHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "WA647535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "WA64753B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.