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Active NPI 1417227992 Individual Practitioner Male Practitioner

Bruce Edward Hackman , MSW

Case Manager/Care Coordinator • San Pedro, CA

Professional Overview & Biography Verified Profile Summary

Bruce Hackman, MSW is a registered healthcare professional specializing in Case Manager/Care Coordinator in San Pedro, CA. Practice services are available at 255 W 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 W 5th St
Unit 616

San Pedro, CA 907313388

Telephone 3107077489

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in San Pedro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
32 Specialists

Practicing in San Pedro, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License CA 31994

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Basimah Khulusi , MD

Physical Medicine & Rehabilitation

NPI 1275607491

Doctor of Medicine (M.D.)

John Orija

Contractor

NPI 1922488642

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 30, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 30, 2011

Registered at 255 W 5TH ST, UNIT 616, SAN PEDRO, CA 907313388 (Tel: 3107077489)

📍
Updated Business Mailing Address December 30, 2011

Registered at 255 W 5TH ST, UNIT 616, SAN PEDRO, CA 907313388 (Tel: 3107077489)

👤
Provider Name / Credentials Updated December 30, 2011

Recorded as BRUCE HACKMAN, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2011

Case Manager/Care Coordinator (License #31994 in CA)

🟢
Initial NPI Registration & Enumeration December 30, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417227992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2011
Last Update: December 30, 2011
Sole Proprietor: Yes

Mailing Address

255 W 5th St, Unit 616

San Pedro, CA 907313388

Phone: 3107077489

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.