Organization Active NPI

Albert W Hawkins MD Inc

  • Specialist
  • Santa Maria, CA
National Provider Identifier
1982895132
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C41368 Issued in CA
Legal business name
ALBERT W HAWKINS MD INC
Practice address
1300 E Cypress
G1
Santa Maria, CA 93454
Phone
(805) 928-0997
Fax
(805) 928-1147
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Ms. Sherry J Thompson, OFFICE MANAGER
Title
Office Manager
Phone
(805) 928-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C41368 CA Primary

Addresses

Primary practice location

1300 E Cypress
G1
Santa Maria, CA 93454

Mailing address

1300 E Cypress
G1
Santa Maria, CA 93454
Phone (805) 928-0997

Other identifiers 1

IdentifierTypeStateIssuer
00C413680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000500 CA Part B Supplier - Clinic/Group Practice 9537209887 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

1300 E Cypress St
Ste G1
Santa Maria, CA 93454
Phone (805) 928-0997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1982895132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E CYPRESS",
            "address_2": "G1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-928-0997",
            "fax_number": "805-928-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CYPRESS",
            "address_2": "G1",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-928-0997",
            "fax_number": "805-928-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT W HAWKINS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-928-0997",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C41368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C413680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.

Verify at the official NPI Registry.