Physician Compare National (NPI:1588664478)

HEALTHCARE PROVIDER: ALBERT W HAWKINS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1588664478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284774639
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091216000463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAWKINS
	Individual professional last name
Provider First Name	ALBERT
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1300 E CYPRESS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE G1
	Group Practice or individual's line 2 address
City	SANTA MARIA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	934544736
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARIAN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y