Maryam Haghnegahdar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A180416 Issued in CA

Practice address

501 S Idaho St Ste 260
La Habra, CA 90631-6594

Phone

(562) 690-0400

NPI assigned

Jan 2, 2019

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Friends of Family Health CenterGroup PAC ID 7315120730, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mhaghnegahdar630336@direct.ochin.org

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.

• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • La Habra, CA
  • NPI 1871818138

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ontario, CA
  • NPI 1003546342
  NPD
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Pico Rivera, CA
  • NPI 1124758727
  NPD (past)
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
  • NPI 1922489665
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1992278949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S IDAHO ST STE 260",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316594",
            "telephone_number": "562-690-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S IDAHO ST STE 260",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316594",
            "telephone_number": "562-690-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHNEGAHDAR",
        "first_name": "MARYAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A180416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neda Haghani, NURSE PRACTITIONER
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• Erin Lynn Hancock, FNP-C
• Kimmie Hang
• Hanger Prosthetics & Orthotics West

• Internal Medicine Physician in La Habra, CA
• Providers in La Habra, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.