MARY HANNA (NPI# 1396198479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396198479 |
| Entity Type | Individual |
| Full Name | MARY HANNA |
| Credential | NP-BC |
| Practice Address |
631 S Brookhurst St Ste 101 Anaheim CA 92804-3563 |
| Mailing Address |
130 W Union St Pasadena CA 91103-3628 |
| Practice Telephone | 7149915700 |
| Mailing Telephone | (888) 223-1207 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95006242 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2299223 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083840052 | Mary Elizabeth Hanna | Occupational Therapist | 5650 N Placita Favorita, Tucson, AZ 85750-1372 | 2009-06-04 |
| 1598838112 | Mary M Hanna | Pediatrics | 1812 Richmond Ave, Staten Island, NY 10314-3910 | 2006-11-15 |
| 1699880880 | Mary Hanna | Registered Nurse | 425 Hampton Creek Ct, Columbia, SC 29209-1974 | 2006-08-20 |
| 1659908085 | Mary Hanna | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-03-25 |
| 1033758800 | Mary Hanna | Anesthesiology | 660 South Euclid Avenue, St Louis, MO 63110-1093 | 2019-12-27 |
| 1558921544 | Mary Helmy Hanna | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-06-20 |
| 1366951543 | Mary A Hanna | Counselor | 1401 Parkmoor Ave, San Jose, CA 95126-3403 | 2017-09-20 |
| 1902355928 | Mary Hanna | Pharmacist | 150 Pierce St, Somerset, NJ 08873-4185 | 2016-10-03 |
| 1386988483 | Mary Adeeb Hanna | Family Medicine | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2012-11-15 |
| 1881942274 | Mary Rezk Hanna | Nurse Practitioner | 13171 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2012-08-16 |
| Street Address |
631 S BROOKHURST ST STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871534552 | Kathleen Trivich | Internal Medicine | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2006-06-10 |
| 1639662950 | Anthony Capati | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2018-06-12 |
| 1023565785 | Jenny Nguyen | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2016-09-09 |
| 1801278908 | Min Ae Chung | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2015-06-24 |
| 1710309018 | Kristen Connor | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2014-01-06 |
| 1225326549 | Johnny Dionisio Caraballo | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2011-07-20 |
| 1710186721 | Richard Loscalzo | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165878 | Zeidy Julissa Mendoza-pineda | Nurse Practitioner | 801 N Harbor Blvd, Anaheim, CA 92805-1810 | 2020-05-07 |
| 1912528829 | Brittani Nichole Ehrhorn | Nurse Practitioner | 2571 W La Palma Ave, Anaheim, CA 92801-2619 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.