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HAIDAR HAJEH
NPI 1548847940
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 24, 2021PECOS Enrolled
900 UNIVERSITY AVE, RIVERSIDE, CA 92521(909) 475-2612(909) 475-5059 Get Directions Write a Review

NPPES record last updated: June 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2024, Mar 24, 2021 (2 updates tracked since 2021).

About Haidar Hajeh NPPES

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

HAIDAR HAJEH (NPI 1548847940) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548847940
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAIDAR HAJEH
Location Address900 UNIVERSITY AVERiverside, CA 92521-4018
Mailing Address900 University AveRiverside, CA 92521-9800 · (909) 475-2612 · Fax (909) 475-5059
Phone(909) 475-2612
Fax(909) 475-5059
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 30, 20242 updates tracked since enumeration
NPPES CertifiedJune 30, 2024
✔ NPI 1548847940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 UNIVERSITY AVE, Riverside, CA 92521
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haidar Hajeh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830684463
PECOS Enrollment IDI20251222000909
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Haidar Hajeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
29 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIK MORALES
Student in an Organized Health Care Education/Training Program
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (951) 827-4568
CHRISTOPHER SKORKA MD
Psychiatry & Neurology (Psychiatry)
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (951) 827-9197
MARIO ANTONIO SALDANA MD
Hospitalist
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (951) 827-4568
DR. ERIC MARVIN TRAN DO
Internal Medicine
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (909) 475-2612
CLOIE JUNE LIM CHIONG MPH
Student in an Organized Health Care Education/Training Program
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (909) 991-8856
DR. TASSAPORN SANGKIJPORN DO
Student in an Organized Health Care Education/Training Program
900 UNIVERSITY AVE, SOM ED. BLDG. II
RIVERSIDE, CA 92521
Riverside County (951) 827-4618
PATRICK SHEN CHAN MD
Student in an Organized Health Care Education/Training Program
900 UNIVERSITY AVE
RIVERSIDE, CA 92521
Riverside County (909) 475-2612
CHIBUZO UGOCHI EKE D.O.
Hospitalist
900 UNIVERSITY AVE, 2608 SCHOOL OF MEDICINE EDUCATION BUILDING
RIVERSIDE, CA 92521
Riverside County (951) 827-7669

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 Haidar Hajeh's NPI number?

The NPI number for Haidar Hajeh is 1548847940. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Haidar Hajeh located?

Haidar Hajeh practices at 900 University Ave, Riverside, CA 92521. The listed phone number is (909) 475-2612.

What is Haidar Hajeh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Haidar Hajeh enrolled in Medicare?

Yes. Haidar Hajeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haidar Hajeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haidar Hajeh reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The 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 Haidar Hajeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haidar Hajeh was last updated on June 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.