Demontray Hankins

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1126 W Foothill Blvd Ste 150
Upland, CA 91786-3778

Phone

(909) 982-8641

NPI assigned

Oct 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Reach Out West End

  • Community/Behavioral Health Agency
  • Jurupa Valley, CA
  • NPI 1215256300
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1033514799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 FOOTHILL BLVD",
            "address_2": "17B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503001",
            "telephone_number": "562-522-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 W FOOTHILL BLVD STE 150",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863778",
            "telephone_number": "909-982-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "DEMONTRAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Handler Psychological Corporation
• Handler Psychological Corporation
• Joyce E. Handler, PSY.D.
• Jonardi Handoko, MD
• Hands on in-Home Care L.L.C.
• Iman Nabil Hanna, MD
• Mark Hanna, MD
• Christine Hansen
• Rizwan Ul Haque, RD
• Kristen Hardin

• Community Health Worker in Upland, CA
• Providers in Upland, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.