MARK HANNA (NPI# 1790147916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790147916 |
Entity Type | Individual |
Full Name | MARK HANNA |
Practice Address |
12315 Felson Pl Cerritos CA 90703-8306 |
Mailing Address |
4301 W Markham St Little Rock AR 72205-7101 |
Practice Telephone | 5629650396 |
Mailing Telephone | 5016865356 |
Enumeration Date | 2016-03-26 |
Last Update Date | 2016-03-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225156847 | Mark Richard Hanna | Specialist | 8 North Ave, Natick, MA 01760-3502 | 2007-03-26 |
1376905588 | Mark Hanna | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 59, Brooklyn, NY 11203-2012 | 2016-03-26 |
1629476551 | Mark Hanna | Nurse Anesthetist, Certified Registered | 1901 Ulmerton Rd, Suite 450, Clearwater, FL 33762-2300 | 2014-12-09 |
1639583230 | Mark Hanna | Pharmacist | 360 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1712 | 2014-06-12 |
1821422080 | Mark Hanna | Contractor | 1100 Coney Island Ave, Brooklyn, NY 11230-2344 | 2013-08-23 |
1902120439 | Mark Hanna | Colon & Rectal Surgery | 1100 San Bernardino Road, Suite 1100, Upland, CA 91786-4952 | 2010-03-26 |
1639271943 | Mark P Hanna | Anesthesiology | 25 Winfield Rd, Winfield, IL 60190 | 2006-09-05 |
1639113210 | Mark A. Hanna | Dentist | 55 Main St, Framingham, MA 01702-2934 | 2006-06-15 |
1912940727 | Mark Jamieson Hanna | Emergency Medicine | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2006-06-13 |
1427045087 | Mark W. Hanna | Orthopaedic Surgery | 5671 Peachtree Dunwoody Rd Ne, Suite 900, Atlanta, GA 30342-5000 | 2005-09-29 |
Street Address |
12315 FELSON PL |
City | CERRITOS |
State | CA |
Zip Code | 90703-8306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
Find all providers in zip 90703 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
1285247767 | Vincent Garcia | Student in an Organized Health Care Education/Training Program | 11050 Artesia Blvd Ste E, Cerritos, CA 90703-2542 | 2020-08-25 |
1407485329 | Abinaya Thenappan | Student in an Organized Health Care Education/Training Program | 12720 Alconbury St, Cerritos, CA 90703-7213 | 2020-04-02 |
1558842799 | Nicha Thumwanit | Student in an Organized Health Care Education/Training Program | 18744 Bloomfield Ave, Cerritos, CA 90703-6049 | 2018-08-26 |
1346720117 | Priti Jain | Student in an Organized Health Care Education/Training Program | 17208 Janell Ave, Cerritos, CA 90703-1817 | 2018-08-20 |
1750861506 | Jennifer Chang | Student in an Organized Health Care Education/Training Program | 18518 Heather Ave, Cerritos, CA 90703-6342 | 2018-08-20 |
1588144430 | Matthew Alexander Yang | Student in an Organized Health Care Education/Training Program | 18943 Vickie Ave Apt 72, Cerritos, CA 90703-6228 | 2018-08-20 |
1841725652 | Manoj Kumar Patnaik | Student in an Organized Health Care Education/Training Program | 19713 Falcon Cir, Cerritos, CA 90703-7714 | 2017-04-30 |
1558745646 | Jessica Lo | Student in an Organized Health Care Education/Training Program | 17421 Harvest Ave, Cerritos, CA 90703-2549 | 2015-07-17 |
1659758969 | Jacqueline Orozco | Student in an Organized Health Care Education/Training Program | 13370 Silver Berry Cir, Cerritos, CA 90703-1374 | 2015-05-06 |
Find all providers in CERRITOS |
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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.