KATHERINE M HAKER (NPI# 1255456141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255456141 |
| Entity Type | Individual |
| Full Name | KATHERINE M HAKER |
| Credential | MD |
| Practice Address |
8700 Beverly Blvd Room M335 Los Angeles CA 90048 |
| Mailing Address |
Po Box 4313 Woodland Hills CA 91365-4313 |
| Practice Telephone | 3104238000 |
| Mailing Telephone | 8053758800 |
| Mailing Fax Number | 8053758900 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G70718 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G707180 | 05 | |
| US DEPT OF JUSTICE DEA | BH3722154 | 01 | |
| CA | DEPT OF HEALTH SERVICES | RHL137517 | 01 |
| Street Address |
8700 BEVERLY BLVD ROOM M335 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018721 | Kathryn Reyes | Genetic Counselor, MS | 8700 Beverly Blvd, Ste. Ac1326, Los Angeles, CA 90048 | 2020-09-17 |
| 1619590585 | Kyohei Itamura | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Department of Surgery, 8215nt, Los Angeles, CA 90048 | 2020-05-26 |
| 1609496983 | Audrey Masako Hagiwara | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-16 |
| 1598384679 | Clarissa Anne Niino | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 3636, Los Angeles, CA 90048 | 2020-04-09 |
| 1356970883 | Marissa Fox | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-06 |
| 1417586082 | Janice Oh | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-06 |
| 1952930513 | Zev Aaron Allison | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Los Angeles, CA 90048 | 2020-04-06 |
| 1902435670 | Jason Yang Gao | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, Suite 5512, Los Angeles, CA 90048 | 2020-04-05 |
| 1952935090 | Dawn Katherine Robertson | Social Worker | 8700 Beverly Blvd, Becker Building Suite 224, Los Angeles, CA 90048 | 2020-02-27 |
| 1477109668 | Lauren Wisdom | Nurse Practitioner | 8700 Beverly Blvd, Los Angeles, CA 90048 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134623 | Hy Diagnostic Inc | Radiology | 4201 Wilshire Blvd Ste 334a, Los Angeles, CA 90010-3601 | 2018-08-17 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1043726367 | Perch Yetenikyan, Inc. | Radiology | 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 | 2017-12-22 |
| 1306351895 | Payam Ebizadeh | Radiology | 1233 S Westgate Ave Apt 307, Los Angeles, CA 90025-6792 | 2017-12-06 |
| 1841720059 | Beverly Radiology Medical Group | Radiology | 8540 S Sepulveda Blvd Ste 111, Los Angeles, CA 90045-3810 | 2017-06-20 |
| 1164895520 | Elliot Kolin | Radiology | 10842 Portofino Pl, Los Angeles, CA 90077-2301 | 2015-11-07 |
| 1396123014 | Brian Weston | Radiology | 757 Westwood Plz Dept Of, Los Angeles, CA 90095-8358 | 2015-05-14 |
| 1629497581 | John P. Anderson Md, Russell M. Perry Md, and Mark A. Sharzer, Amc | Radiology | 931 S Cochran Ave, Los Angeles, CA 90036-4738 | 2014-04-08 |
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on KATHERINE M HAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.