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GEORGE HAFZALLA
NPI 1912640103
Hospitalist in Loma Linda, CA

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354(909) 558-4074 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Apr 15, 2022 (2 updates tracked since 2022).

About George Hafzalla NPPES

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

GEORGE HAFZALLA (NPI 1912640103) is an individual hospitalist provider in Loma Linda, California, licensed in California (A188822) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2022).

NPPES Registry Identity

NPI1912640103
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGEORGE HAFZALLA
Location Address11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE CLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St Ste 1519Loma Linda, CA 92350-1716 · (909) 558-4884
Phone(909) 558-4074
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2022
Enumeration DateApril 15, 2022
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1912640103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · A188822
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A188822 (CA)
11234 ANDERSON STREET, Loma Linda, CA 92354
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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 and accepts Medicare assignment

George Hafzalla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688187156
PECOS Enrollment IDI20250627002703
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 George Hafzalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Pediatrics
11234 ANDERSON ST
Loma Linda, CA 92350
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1477503407 (909) 558-4000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ABHISHEK JAY DHARAN MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
RACHEL ELIZABETH GELFOND DAVIDGE D.O.
Pediatrics
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH, GENERAL PEDIATRICS
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
DR. KRISTINA KYLE M.D.
Emergency Medicine
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH - EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
DOUGLAS WANG
Internal Medicine
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE C
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4174
FARAH SHAKER ABED ABUAZZAM
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4911
DR. JOSHUA STUART MACLAUGHLAN MD
Radiology (Diagnostic Radiology)
11234 ANDERSON STREET
LOMA LINDA, CA 92354
San Bernardino County (909) 558-7814
YURI JIN
Emergency Medicine
11234 ANDERSON STREET, EMERGENCY MEDICINE
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4085
SHELDON VOGT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, LOMA LINDA UNIVERSITY HEALTH-SURGERY
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822

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 George Hafzalla's NPI number?

The NPI number for George Hafzalla is 1912640103. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is George Hafzalla located?

George Hafzalla practices at 11234 Anderson Street Gme Office Westerly Suite C, Loma Linda, CA 92354. The listed phone number is (909) 558-4074.

What is George Hafzalla's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is George Hafzalla enrolled in Medicare?

Yes. George Hafzalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for George Hafzalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Hafzalla reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, 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 George Hafzalla'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 George Hafzalla was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.