Active NPI
Mohammed Abbas Husain, D.D.S.
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1972840346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61869
- Practice address
- 5701 S Hoover St
Los Angeles, CA 90037-4045 - Phone
- (323) 541-1600
- NPI assigned
- Jan 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61869 | CA | Primary |
Addresses
Primary practice location
5701 S Hoover St
Los Angeles, CA 90037-4045
Mailing address
3290 Sawtelle Blvd
Apt 204
Los Angeles, CA 90066-1660
Phone (818) 489-7865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Univ of Calif, Los Angeles School of Dentistry, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- mhusain@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357344000000",
"number": "1972840346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3290 SAWTELLE BLVD",
"address_2": "APT 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661660",
"telephone_number": "818-489-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 S HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900374045",
"telephone_number": "323-541-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "MOHAMMED",
"middle_name": "ABBAS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-05",
"last_updated": "2013-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; 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.