DR. DONN MICHAEL HICKMAN M.D.
NPI 1508085655
Specialist in Long Beach, CA
NPI Status: Active since April 25, 2007
Contact Information
4401 ATLANTIC AVE STE 101
LONG BEACH, CA
ZIP 90807
Phone: (562) 422-5902
Fax: (562) 422-6014
- Individual
- Male
- Specialist
- PECOS Enrolled
About DONN HICKMAN
This page provides the complete NPI Profile along with additional information for Donn Hickman, a provider established in Long Beach, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1508085655 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number G034964 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1508085655
- Provider Name
- DR. DONN MICHAEL HICKMAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807
- Location Phone
- (562) 422-5902
- Location Fax
- (562) 422-6014
- Mailing Address
- 920 E WARDLOW RD LONG BEACH, CA 90807
- Mailing Phone
- (562) 988-0365
- Mailing Fax
- (562) 422-6014
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-25-2007
- Last Update Date
- 08-11-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G034964
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Medicare Participation & PECOS Enrollment Status
Donn Hickman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 0 | 8 | 5 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 0 | 8 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 0 + 8 + 1 + 0 + 6 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1508085655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093258550 | CARE FIRST COMMUNITY MEDICAL INC Organization | Obstetrics & Gynecology (Gynecology) | 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807 (562) 422-5400 |
| 1164909578 | CENTER FOR SPECIALTY SURGERY LLC Organization | Clinic/Center (Ambulatory Surgical) | 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807 (562) 984-2038 |
| 1629511183 | CENTER OF SURGICAL EXCELLENCE LLC Organization | Clinic/Center (Ambulatory Surgical) | 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807 (562) 422-5400 |
| 1831773829 | JACQUELINE JIMENEZ Individual | Nurse Practitioner (Family) | 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807 (562) 349-0084 |
| 1356101430 | LONG BEACH SURGICARE LLC Organization | Clinic/Center (Ambulatory Surgical) | 4401 ATLANTIC AVE STE 101 LONG BEACH, CA 90807 (562) 573-4545 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508085655, enumerated in the NPI registry as an "individual" on April 25, 2007
The provider is located at 4401 Atlantic Ave Ste 101 Long Beach, Ca 90807 and the phone number is (562) 422-5902
The provider's speciality is Specialist with taxonomy code 174400000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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