Monica Hannon Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MONICA HANNON MEDICAL CORPORATION

Doing business as

Lakeside Obstetrics, Gynecology, & Fertility

Practice address

402 8TH Ave Ste 201
San Francisco, CA 94118-3057

Phone

(415) 741-1000

Fax

(415) 735-3126

NPI assigned

Feb 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Monica Hannon, MDNPI 1033435904

Title

Ceo

Phone

(415) 672-0195

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Obstetrics, Gynecology, & Fertility Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Hannon, M.D.

  • Obstetrics & Gynecology Physician
  • San Francisco, CA
  • NPI 1033435904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1033974290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 8TH AVE STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183057",
            "telephone_number": "415-741-1000",
            "fax_number": "415-735-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 8TH AVE STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183057",
            "telephone_number": "415-741-1000",
            "fax_number": "415-735-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA HANNON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-672-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Obstetrics, Gynecology, & Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Varun Vijay Kumar Monga, MBBS, MD
• John Thomas Mongan, MD, PHD
• Hortencia Carmen Monge
• Jillian Mongelluzzo, MD
• Michal Henry Moni, LPT
• Norma S Monico-Cristales, PSYD
• Stephanie D Moniz, DDS
• Alexis Monnier, LMFT
• Dezmon Monroe Robinson, NP
• Briana Jean Monroe, LCSW

• Medical Specialty Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.