HASSAN A KOBAISSI DPM
NPI 1245632777
Podiatrist - Foot & Ankle Surgery in Hacienda Heights, CA

Active since September 16, 2014CLIA 05D0906280 · Microscopy
3180 COLIMA RD, SUITE A, HACIENDA HEIGHTS, CA 91745(626) 961-1882(626) 968-7599 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hassan A Kobaissi Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HASSAN A KOBAISSI DPM (NPI 1245632777) is a healthcare organization registered as a foot & ankle surgery in Hacienda Heights, California and active in the NPI registry since September 2014. The organization holds a CLIA Microscopy certificate valid through September 8, 2027 and lists Hassan A Kobaissi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245632777
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameHASSAN A KOBAISSI DPM
Location Address3180 COLIMA RD, SUITE AHacienda Heights, CA 91745-6315
Mailing Address3180 Colima Rd, Suite AHacienda Heights, CA 91745-6315 · (626) 961-1882 · Fax (626) 968-7599
Fax(626) 968-7599
Organization SubpartNo
Authorized OfficialHassan A KobaissiCeo · (626) 961-1882
Enumeration DateSeptember 16, 2014
Last NPPES UpdateMarch 25, 2015
✔ NPI 1245632777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4235
3180 COLIMA RD, Hacienda Heights, CA 91745

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hassan A Kobaissi Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Hassan A Kobaissi DPM, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Podiatry
NPI 1932209624
3180 COLIMA RD STE A
Hacienda Heights, CA 91745
(626) 961-1882
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1295846152
3180 COLIMA RD STE A
Hacienda Hts, CA 91745
(626) 961-1882
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1093058216
3180 COLIMA RD STE A
Hacienda Heights, CA 91745
(626) 961-1882
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1467482737
3180 COLIMA RD STE A
Hacienda Heights, CA 91745
(626) 961-1882
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0906280

Hassan A Kobaissi, Dpm · Hacienda Heights, CA
Active · expires Sep 8, 2027
CLIA Number05D0906280
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorRichard Yung
Laboratory Phone(626) 477-3264
Laboratory LocationHassan A Kobaissi, Dpm3180 Colima Rd, Ste A, Hacienda Heights, CA 91745
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hassan A Kobaissi Dpm's NPI number?

The NPI number for Hassan A Kobaissi Dpm is 1245632777. It was assigned to this organization in the NPPES registry on September 16, 2014.

Where is Hassan A Kobaissi Dpm located?

Hassan A Kobaissi Dpm is located at 3180 Colima Rd Suite A, Hacienda Heights, CA 91745. The listed phone number is (626) 961-1882.

What is Hassan A Kobaissi Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Hassan A Kobaissi Dpm enrolled in Medicare?

Yes. Hassan A Kobaissi Dpm is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hassan A Kobaissi Dpm?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Podiatry, reassign their Medicare billing to Hassan A Kobaissi Dpm. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hassan A Kobaissi Dpm hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0906280) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hassan A Kobaissi Dpm was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.