Individual provider Active NPI

Peter Hahn

  • Registered Nurse
  • City of Industry, CA
National Provider Identifier
1013616291
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95264388 Issued in CA
Practice address
18501 Gale Ave Ste 100
City of Industry, CA 91748-1359
Phone
(626) 626-4997
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95264388 CA Primary

Addresses

Primary practice location

18501 Gale Ave Ste 100
City of Industry, CA 91748-1359

Mailing address

18501 Gale Ave Ste 100
City of Industry, CA 91748-1359
Phone (626) 626-4997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95264388CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Star View Behavioral Health, Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

18501 Gale Ave
Ste 100
City of Industry, CA 91748
Phone (626) 346-5996

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1013616291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE STE 100",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481359",
            "telephone_number": "626-626-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 GALE AVE STE 100",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481359",
            "telephone_number": "626-626-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95264388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.