MEDICARE: DR. ANOOSHIRAVAN HAMI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	G67031	CA
2	207RP1001X	Pulmonary Disease Physician	G67031	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290010194	OTHER	CA	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760580716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANOOSHIRAVAN HAMI M.D.

Provider Business Mailing Address
First Line	:	515 S BEACH BLVD STE G
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-1812
Country	:	US
Telephone Number	:	714-677-4211
Fax Number	:	714-364-5119

Provider Business Practice Location Address
First Line	:	3400 W BALL RD STE 207
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:	714-826-7440
Fax Number	:	714-826-4623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/20/2025

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Directions to “ DR. ANOOSHIRAVAN HAMI M.D.” Practice Location

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