Individual provider Active NPI

Nadine Barbara Hanna, M.D.

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1043244007
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A68399 Issued in CA
Practice address
112 La Casa Via Ste 200
Walnut Creek, CA 94598-3011
Phone
(925) 933-4747
Fax
(925) 933-1638
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A68399 CA Primary

Addresses

Primary practice location

112 La Casa Via Ste 200
Walnut Creek, CA 94598-3011

Mailing address

112 La Casa Via Ste 200
Walnut Creek, CA 94598-3011
Phone (925) 933-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090218000547 CA Practitioner - Obstetrics/Gynecology 6406911874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 200
Walnut Creek, CA 94598-3011
Phone (925) 951-5806

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68399CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Muir Obstetrics & Gynecologic Medical Group, Inc. Specialist Current Accepting new patients
Bass Medical Group Obstetrics & Gynecology Current Accepting new patients
Bass Medical Group Specialist Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982

350 John Muir Pkwy
Ste 205
Brentwood, CA 94513
Phone (925) 626-3000

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

112 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 933-4747

2121 Ygnacio Valley Rd
Ste E206
Walnut Creek, CA 94598
Phone (925) 732-0390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nhanna12317@ehr.johnmuirhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1043244007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983011",
            "telephone_number": "925-933-4747",
            "fax_number": "925-933-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983011",
            "telephone_number": "925-933-4747",
            "fax_number": "925-933-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "NADINE",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A68399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.