Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Hazam Mansour Ademhizam, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1073645131

Mr. Hazam Mansour Ademhizam, PHYSICIANASSISTANT is a Physician Assistant in Buena Park, California. Qualified in 2006, 20 years ago. Practices with Dallas County Hospital District, a 598-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

6744 Knott Ave Apt 4
Buena Park, CA 90621-2736
Phone: (714) 228-0715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 19085 (CA)

Record details

NPI number1073645131
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Dallas County Hospital District — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Buena Park