Active NPI
Tweety Family Clinic Inc
- Exclusive Provider Organization
- South Gate, CA
National Provider Identifier
1962685966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- A056354
- Legal business name
- TWEETY FAMILY CLINIC INC
- Practice address
- 3050 Tweedy Blvd
South Gate, CA 90280-5742 - Phone
- (323) 357-0700
- NPI assigned
- Dec 12, 2007
- Last updated
- Feb 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ragaie Lamie Hakim, M.D
- Title
- President
- Phone
- (323) 357-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | A056354 | CA | Primary |
Addresses
Primary practice location
3050 Tweedy Blvd
South Gate, CA 90280-5742
Mailing address
3050 Tweedy Blvd
South Gate, CA 90280-5742
Phone (323) 357-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3050 Tweedy Blvd
South Gate, CA 90280
Phone (323) 357-0700
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1104952084
-
- Pediatrics Physician
- Los Angeles, CA
- NPI 1598784811
-
- Family Nurse Practitioner
- South Gate, CA
- NPI 1356585640
-
- Family Nurse Practitioner
- South Gate, CA
- NPI 1114381936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1962685966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805742",
"telephone_number": "323-357-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805742",
"telephone_number": "323-357-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWEETY FAMILY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "HAKIM",
"authorized_official_first_name": "RAGAIE",
"authorized_official_middle_name": "LAMIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-357-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CA",
"license": "A056354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.