Hannah Rose Allen
Individual provider Active NPI Physician Assistant · Santa Clara, CA
NPI 1013785310 · NPPES record last updated Dec 15, 2024
Key facts
- NPI
- 1013785310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 700 Lawrence Expy
Santa Clara, CA 95051-5173 - Phone
- (408) 203-1253
- NPI assigned
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000
710 Lawrence Express Way
Santa Clara, CA 95051-5173
Phone (408) 851-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619002023 | CA | Practitioner - Physician Assistant | 0749723690 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64115 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients |
Locations
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
700 Lawrence Expy
Santa Clara, CA 95051-5173
Mailing address
700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 203-1253
Other providers in Santa Clara, CA
- Hiba Alghazi
- Aisha Ali
- Shabnam Alizada
- Shannon Elizabeth Allard
- Michelle Yvette Allee
- Jordan Grace Alley
- Alliance Occupational Medicine
- Samuel Joseph Allmon
- Ally Mobility
- Ally Mobility LLC
All providers in Santa Clara, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.